宫腔镜检查后子宫内膜病理检查在子宫内膜病变诊断中的价值

The Value of Pathological Examination of the Endometrium after Hysteroscopy in the Diagnosis of Endometrial Diseases

目的对宫腔镜检查后实施子宫内膜病理检查,在子宫内膜病变诊断中的临床运用效果展开观察与分析。方法抽选该院2018年2月—2020年1月所接诊的166例子宫内膜病变患者作为研究对象,在对患者予以宫腔镜检查后,对其实施子宫内膜病理检查,并对检查结果进行观察与分析。结果子宫内膜炎、分泌期内膜及增生期内膜伴部分腺体增生过长患者在宫腔镜检查下,其子宫内膜厚度差异有统计学意义(P<0.05);宫腔镜检查中子宫内膜炎与子宫内膜癌患者检查出子宫内膜息肉样增生比重(0.0%、0.0%)较低,而分泌期内膜与子宫内膜息肉患者检出子宫内膜息肉样增生的比重(48.5%、45.5%)较高,差异有统计学意义(χ^(2)=3.940、3.940、5.162、 8.338,P<0.05)。结论子宫内膜病变患者在实施宫腔镜检查后,再予以子宫内膜病理检查,可提升疾病诊断的准确度,值得在临床上广泛推广应用。

Objective To perform endometrial pathological examination after hysteroscopy,and to observe and analyze the clinical application effect in the diagnosis of endometrial lesions.Methods Selected 166 patients with endometrial lesions in the hospital from February 2018 to January 2020 as the research objects.After the patients were examined by hysteroscopy,the endometrial pathology examination was performed on them and observed and analyzed its inspection results.Results In patients with endometritis,secretory endometrium and hyperplastic endometrium with some glandular hyperplasia,under hysteroscopy,the difference in endometrial thickness was statistically significant(P<0.05);in hysteroscopy,patients with endometritis and endometrial cancer had a lower proportion of endometrial polypoid hyperplasia(0.0%,0.0%),while patients with secretory endometrium and endometrial polyps were detected in the uterus proportion of membrane polypoid hyperplasia(48.5%,45.5%),being higher,and the difference was statistically significant(χ^(2)=3.940,3.940,5.162,8.338,P<0.05).Conclusion After hysteroscopy,pathological examination of the endometrium in patients with endometrial disease can improve the accuracy of disease diagnosis and is worthy of widespread clinical application.