诊断性刮宫及宫腔镜检查对围绝经期阴道出血的诊断价值

Diagnostic Value of Diagnostic Curettage and Hysteroscopy for Perimenopausal Vaginal Bleeding

目的:分析诊断性刮宫及宫腔镜检查对围绝经期阴道出血的诊断价值。方法:选取某科收治的68例围绝经期阴道出血患者,分别实施诊断性刮宫、宫腔镜检查,分析检查结果。结果:68例围绝经期阴道出血患者病因为:子宫内膜癌5例,黏膜下肌瘤/息肉26例,子宫内膜不典型增生37例。诊断性刮宫、诊断性刮宫联合宫腔镜检查对子宫内膜癌的诊断准确率组间差异不显著(P>0.05),诊断性刮宫联合宫腔镜检查对黏膜下肌瘤/息肉、子宫内膜不典型增生的诊断准确率明显高于单用诊断性刮宫的结果(P<0.05)。结论:在围绝经期阴道出血病因诊断中,诊断性刮宫联合宫腔镜检查可明确分析病因,提高疾病诊断准确率,为患者病情的明确诊断与治疗方案的确定提供重要参考信息。

Objective: To analyze the diagnostic value of diagnostic curettage and hysteroscopy for perimenopausal vaginal bleeding. Methods: 68 cases of perimenopausal vaginal bleeding admitted in our department were selected, and diagnostic curettage and hysteroscopy were performed respectively,analyzed inspection results. Results: Causes of 68 cases of perimenopausal vaginal bleeding were: 5 cases of endometrial carcinoma, 26 cases of submucosal myoma/polyp, and 37 cases of dysplasia of the endometrium. The accuracy difference between groups of dagnostic curettage, diagnostic curettage combined with hysteroscopy examination in the diagnosis of endometrial carcinoma was not significant(P>0.05),the diagnostic accuracy of diagnostic curettage combined hysteroscopy examination in submucous myoma/polyps and endometrial atypical hyperplasia was significantly higher diagnostic curettage results alone(P<0.05). Conclusion: In the diagnosis of perimenopausal vaginal hemorrhage, diagnostic curettage combined with hysteroscopy can clearly analyze the etiology, improve diagnosis accuracy, it can provide important reference information for the definite diagnosis and treatment of the patient’s condition.