诊刮与宫腔镜对诊断和治疗子宫内膜息肉的临床效果比较

目的比较和分析诊刮与宫腔镜对诊断和治疗子宫内膜息内的临床效果。方法将阴道超声检查怀疑子宫内膜息肉的患者随机分为诊刮组（66例）和宫腔镜组（66例），均行病理检查，将病理结果与诊刮、官腔镜检查进行对比分析，术后孕激素治疗3～6个月。结果诊刮检查和病理诊断子宫内膜息肉的符合率为75％，官腔镜检查和病理诊断子宫内膜息肉的符合率为90．63%，二组比较差异有统计学意义（P〈0．05）。结论超声检查具有无创、方便、快捷的特点，可作为子宫内膜息肉术前筛查及术后随访的手段；诊刮作为传统获取子宫内膜的方法，因其操作相对盲目，可能造成漏诊；官腔镜检查更准确、直观、全面，是目前子宫内膜息肉诊断和治疗的首选方法，配合孕激素治疗可减少子宫内膜息肉复发。

CLINICAL ANALYSIS OF ENDOMETRIAL POLYPS ON DIAGNOSIS AND TREATMENT WITH CURETTAGE AND HYSTEROSCOPY

Objective To compare and analyse the clinical effect of endometrial polyps in diagnosis and treatment of curettage and hysteroscopy. Methods The patients of suspected endometrial polyps with transvaginal ultrasound check were randomly divided into curettage group (66 cases) and hysteroscopy group (66 cases), with pathological examination and progesterone treatment for 3~6 months. The pathology results were compared between 2 groups. Results The pathological diagnosis of endometrial polyps in curettage group...