子宫腔镜检查在诊断子宫腔内病变中的临床价值

目的 探讨子宫腔镜在诊断子宫腔内病变的临床实用价值。方法 回顾性分析85例经临床及彩超诊断为子宫腔内病变,而施行子宫腔镜检查的临床资料。结果 85例经阴道子宫腔镜检查诊断为子宫腔内病变的患者75例,其申子宫内膜息肉36例,子宫粘膜下肌瘤19例,子宫内膜增厚16例,子宫内膜癌4例。子宫腔镜检查与临床及彩超检查的阳性率达88.24％。病理组织学诊断的准确率达94.67％(71/75),假阳性率为5.33％。结论 子宫腔镜检查是诊断子宫腔内病变方便而有效的方法,结合病理组织学检查可显著提高诊断正确率。

The Clinical Value of Diagnosing Diseases in Uterine Cavity by Hysteroscopic Check

Objective To evaluate the clinical value of diagnosing diseases in uterine cavity by hysteroscopic check. Methods Check 85 cases to 75 cases which are clinical and color ultrasound diagnosed as uterine cavity diagnosing diseases in with hysteroscopic in clinical diagnosing,and analyse its correctness of diagnosis. Results Among them,36 cases had endomtri-al polyps,19 cases submucous myomata,16 cases too thick endometrium,4 cases endometrial carcinomas. The clinical and color ultrasound diagnosed ware 88. 24%. The all accuracy for diagnosing diseases in uterine cavity by hysteroscopic check ware 94. 67%(71/75),and artificial positive ware 5. 33%. Conclusion The correct rate of diagnosing diseases in uterine cavity is higher by hysteroscopic and pathological check,which were necessary in clinical diagnosis.