254例异常子宫出血中宫腔镜运用临床分析

发布时间：2018-02-22 10:10

本文关键词： 宫腔镜异常子宫出血宫腔镜电切术刮宫术组织病理学　出处：《重庆医学》2017年28期 　论文类型：期刊论文

【摘要】：目的探讨异常子宫出血中宫腔镜的应用价值。方法收集该院诊治的254例异常子宫出血患者的临床资料进行回顾性分析,所有病例均行阴道B超检查。结果 (1)以组织病理结果为金标准,宫腔镜诊断异常子宫出血的总符合率(64.9%)较阴道B超高,差异有统计学意义(P0.05);其中诊断子宫内膜息肉的符合率为72.2%,高于阴道B超(P0.05);(2)在诊断子宫内膜息肉和子宫黏膜下肌瘤方面,宫腔镜的诊断与组织病理诊断是相吻合的(χ2=0.46、0.56,P0.05);但在诊断子宫内膜增生过长及子宫内膜炎方面,组织病理具有明显的优势(P0.05);(3)与传统刮宫相比,宫腔镜下电切治疗子宫内膜息肉具有术后出血时间短、有效率高、复发率低的优点,差异有统计学意义(P0.05)。结论宫腔镜是异常子宫出血患者的首选检查方法且兼顾治疗。
[Abstract]:Objective to explore the application value of hysteroscopy in abnormal uterine hemorrhage. Methods Clinical data of 254 patients with abnormal uterine hemorrhage were collected and analyzed retrospectively. All cases were examined by vaginal ultrasound. Results 1) the total coincidence rate of hysteroscopy in diagnosing abnormal uterine bleeding was 64.9) higher than that of vaginal ultrasound. The coincidence rate of diagnosing endometrial polyps was 72.2, which was higher than that of vaginal ultrasound (P0.05) in the diagnosis of endometrial polyps and submucous myoma. The diagnosis of hysteroscopy was consistent with histopathologic diagnosis (蠂 2 / 0. 466 / 0. 56P 0. 05), but histopathology had obvious advantages in the diagnosis of endometrial hyperplasia and endometritis (P 0. 05), compared with traditional curettage, hysteroscopy had significant advantages in the diagnosis of endometrial hyperplasia and endometritis. Hysteroscopic resection of endometrial polyps has the advantages of short postoperative bleeding time, high effective rate and low recurrence rate, and the difference is statistically significant (P 0.05). Conclusion hysteroscopy is the first choice for patients with abnormal uterine bleeding and both treatment and treatment.
【作者单位】：广东医学院附属安庆医院/安庆市第一人民医院妇产科;
【分类号】：R713.4

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