摘要
目的:评价宫腔镜对绝经后子宫出血的诊断价值。方法 :对 2 13例绝经后子宫出血患者进行宫腔镜检查。 结果 :有阳性发现者为 171例 ,其中老年性子宫内膜炎 68例 ,子宫内膜息肉 3 8例 ,子宫粘膜下肌瘤 2 1例 ,子宫内膜癌 14例 (经定位活检证实 ) ,宫内节育器 (IU D) 8例 ,宫颈管炎 4例 ,宫颈管息肉 18例 ,诊断阳性率 80 .3 %。其中 3例子宫内膜息肉和 2例子宫粘膜下肌瘤行电视宫腔镜下电切术。结论 :宫腔镜检查对绝经后子宫出血诊断阳性率高 ,与定位活检相结合可大大地提高宫腔内疾病诊断的准确性。而且宫腔镜下电切术具有操作简单、病人痛苦少、并发症少。
Objective: To evaluate the diagnosfic value of hysteroscopy to postmenopausal uterine bleeding. Methods: 213 patients with postmenopausal uterine bleeding were examined with hysteroscopy.Results: There were 171 patients had positive findings, among them 68 cases were senile changes, 38 cases endometrial polyp, 21 cases submucous myoma, 14 cases carcimoma of endometrium, 8 cases intrauterine device, 4 cases cervicitis, 18 cases cervical polyp. The positive rate of diagnosis was 80.3%; there were 3 patients with endometrial polyp and 2 paitients with submucous myoma undergone transcervical resection fo polyp(TCRP)or myoma(TCRM).Conclusion: Hysteroscopy is one of effective diagnosis methods for postmenopausal uterine bleeding. It may enhance the diagnostic accuracy about the cause of bleeding within the uterine cavity combined with local biopsy.
出处
《新疆医科大学学报》
CAS
2002年第4期402-403,共2页
Journal of Xinjiang Medical University