异常子宫出血宫腔镜检查679例分析

目的 探讨女性异常子宫出血病因及宫腔镜的应用价值.方法 对679例女性异常子宫出血患者经妇科检查后结合B超、病理诊断和官腔镜检查明确出血病因.结果 宫腔镜检查联合B超及活检病理诊断宫内病变的阳性检出率为98.6%.其中子宫内膜异常增生、子宫内膜息肉是异常子宫出血的主要病因,占56.7%.其次为子宫肌瘤(包括宫颈肌瘤)、子宫内膜炎.发病年龄以育龄妇女为主.结论 宫腔镜是检查女性异常子宫出血的重要方法 之一,可了解宫腔病变与子宫出血的关系,能明显提高临床诊断准确率,并能明确各病种在不同年龄段的分布情况.

Analysis of 679 abnormal uterine bleeding of women examined by hysteroscopy

Objective To study the applicability of hysteroseopy for abnormal uterine bleeding of women and to analyze the etiology.Methods 679 cases of women with abnormal uterine bleeding were examined by hysteroscopy,whose situations were showed first under bimanual or trimanual examinations,then trams abdominal or traps vaginal B-ultrasonograpy.Results The postive rate of uterie abnormality was 98.6% detected by hysteroscopy and biopsy.Endometrial hyperplasia and endometrialpolyp were the main cause of abnormal uterine bleeding,which occupied 56.7%,then were myoma and endometritis.Women of child-bearing age were the largdy group that in volved.Conclusion Hysteorscopic examination was useful for abnormality uterine bleeding of women.We can underatand the relationship with abnormal uterine bleeding and intra-uterine disease,and the distribution of the different diseases in different age to enhance accurate diagnosis.