宫腔镜在协助诊断异常子宫出血中的价值

【目的】探讨宫腔镜协助诊断异常子宫出血的价值和优势。【方法】应用宫腔镜检查262例异常子宫出血患者，并在宫腔镜下定位取材或诊断性刮宫。【结果】宫腔镜诊断手宫黏膜下肌瘤、子宫内膜息肉、萎缩型子宫内膜、子宫内膜炎的敏感性高，宫腔镜检查与病理检查结果总符合率93．35％。萎缩型子宫内膜、子宫内膜炎是本组患者绝经后出血的主要原因，子宫内膜增生症、子宫内膜息肉是绝经前异常子宫出血的主要原因。【结论】宫腔镜检查能直视宫腔内病变，定位取材送病理检查可提高诊断准确率，对部分病人可达到诊断和治疗一体化的作用。

Value of Hysteroscopy in Assisting the Diagnosis of Abnormal Uterine Bleeding

Objective]To study the value of hysteroscopy in assisting the diagnosis of abnormal uterine hemorrhage. Methods]Retrospective analysis was done on 262 cases with abnormal uterine bleeding examined both by hysteroscopy and by localized biopsy or diagnostic curettage. Results]There was a high sensitivity of diagnostic hysteroscopy in submucous myorna, endometrial polyp, endometritis and atrophic endometrium. The coincidence rate of hysteroscopy diagnosis and pathological results was 93.35 %. The main etiologies of postmenopausal abnormal uterine bleeding were atrophic endometrium and endometritis. While for the reproductive age and perimenopausal women, the main reasons were endometrial hyperplasia and endometrial polyp. Conclusion]Hysteroscopy is a highly accurate procedure concerning abnormal uterine bleeding with eye direct biopsy and a minimal trauma, and it is ideal for both diagnosis and management of some intrauterine abnormalities.