宫腔镜检查诊断围绝经期异常子宫出血的价值分析

Value Analysis of Hysteroscopy in Diagnosis of Abnormal Uterine Bleeding During Perimenopausal Period

目的:探讨宫腔镜检查诊断围绝经期异常子宫出血的价值。方法:选取2022年1月—2023年5月仁怀市中医院收治的80例围绝经期异常子宫出血患者作为研究对象,均予以阴道超声检查和宫腔镜检查,并行组织活检及诊断性刮宫,行病理分析。以病理诊断结果为“金标准”,比较两种检查方式的诊断符合率。结果:80例患者病理诊断结果显示子宫内膜癌6例,子宫黏膜下肌瘤13例,子宫内膜息肉23例,子宫内膜过度增生30例,内膜炎4例,宫颈管炎4例。阴道超声检查诊断符合率为77.5%(62/80),宫腔镜检查诊断符合率为95.0%(76/80)。宫腔镜检查诊断符合率高于阴道超声检查,差异有统计学意义(P<0.001)。结论:宫腔镜检查诊断围绝经期异常子宫出血的符合率较高,具有良好的应用价值。

Objective:To investigate the value of hysteroscopy in diagnosis of abnormal uterine bleeding during perimenopausal period.Methods:A total of 80 patients with abnormal uterine bleeding during perimenopausal period admitted to Renhuai Hospital of Traditional Chinese Medicine from January 2022 to May 2023 were selected as the study subjects.All patients underwent vaginal ultrasound and hysteroscopy examinations,as well as tissue biopsy and diagnostic curettage for pathology analysis.The diagnostic coincidence rates of the two examination methods were compared.Results:The pathological diagnosis results of 80 patients showed 6 cases of endometrial cancer,13 cases of submucosal myoma,23 cases of endometrial polyps,30 cases of endometrial hyperplasia,4 cases of endometritis and 4 cases of cervix angiitis.The diagnostic coincidence rate was 77.5%(62/80)on vaginal ultrasound and 95.0%(76/80)on hysteroscopy.The diagnostic coincidence rate of hysteroscopy was higher than that of vaginal ultrasound,and the difference was statistically significant(P<0.001).Conclusion:The hysteroscopy has a high coincidence rate in the diagnosis of abnormal uterine bleeding during perimenopausal period,and has good application value.