宫腔镜在异常子宫出血中的诊疗价值

Value of hysteroscopy in diagnosis and treatment of abnormal uterine bleeding

目的:探究异常子宫出血诊疗中宫腔镜的应用价值。方法:2014年1月-2020年4月收治异常子宫出血患者82例,对其临床资料进行回顾性分析,将术后诊刮病理诊断结果作为金标准,分析宫腔镜诊断异常子宫出血的准确率,同时探讨宫腔镜治疗异常子宫出血的效果。结果:82例患者术后病理检查结果显示,子宫内膜增生症21例,子宫内膜息肉13例,子宫内膜炎38例,子宫黏膜下肌瘤3例,子宫内膜囊腺样或非典型增生2例,子宫内膜癌5例。宫腔镜检查结果显示,子宫内膜增生症20例,子宫内膜息肉13例,子宫内膜炎36例,子宫黏膜下肌瘤3例,子宫内膜囊腺样或非典型增生2例,子宫内膜癌5例。与病理检查结果比较,宫腔镜诊断异常子宫出血的符合率为96.34%。82例患者经宫腔镜诊治后,治愈率为95.12%。结论:异常子宫出血诊疗中,宫腔镜具有良好应用价值。

Objective:To explore the application value of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding.Methods:From January 2014 to April 2020,82 patients with abnormal uterine bleeding were selected,and the clinical data were retrospectively analyzed,the results of postoperative curettage were regarded as the gold standard,we analyzed the accuracy of hysteroscopy in the diagnosis of abnormal uterine bleeding and the effect of hysteroscopy in the treatment of abnormal uterine bleeding.Results:Hysteroscopy showed that there were 20 cases of endometrial hyperplasia,13 cases of endometrial polyps,36 cases of endometritis,3 cases of submucous myoma,2 cases of cystic adenoid or atypical hyperplasia of endometrium,and 5 cases of endometrial carcinoma.Compared with the results of pathological examination,the coincidence rate of hysteroscopy in the diagnosis of abnormal uterine bleeding was 96.34%.After hysteroscopic diagnosis and treatment in 82 patients,the cure rate was 95.12%.Conclusion:Hysteroscopy has a good application value in the diagnosis and treatment of abnormal uterine bleeding.