电视宫腔镜检查妇科疾病1114例临床分析

Clinical Analysis of 1 114 Cases of Hysteroscopy

目的 探讨宫腔镜在临床中的应用价值。方法 对我科 2 0 0 0 - 1 0～ 2 0 0 3- 0 4间对 1 1 1 4例因子宫异常出血、不孕症、宫内异常等 ,行宫腔镜检查者进行回顾性分析。结果 正常宫腔 1 83例 ,镜下发现不同疾病共 931例 ,阳性检出率是 83 6 %。其中 ,6 98例在宫腔镜检查的同时进行了治疗 ,占 6 2 1 %。 1 1 1 4例均未发生并发症。结论 应用电视宫腔镜能在直视下检查宫腔内病变 ,对异常子宫出血、宫腔粘连、宫腔占位 ,以及处女检查等是一种较好的诊疗手段 ,而且能同时予以不同的治疗 。

Objective To evaluate the clinical value of hysteroscopy. Methods 1 114 cases of hysteroscopy examination were reviewing analysis from October 2000 to April 2003 because of the abnormal uterus bleeding, sterility, intrauterine abnormity etc. Results 183 cases were normal uterus, 931 cases of different disease were examined by hysteroscopy.The positive detection was 83.6%. In the above, 692 cases were treated by hysteroscopy simultaneously occupied 62.1%. All the cases had no complications. Conclusion The hysteroscopy could direct examine the intrauterine disease and it might be a good method of the diagnosis and therapy for those of abnormal uterus bleeding, uterine conglutination and maiden, etc. Also could treat many different disease. It should have the better clinical application.