宫腔镜诊断异常子宫出血的临床分析

目的:探讨宫腔镜在诊断异常子宫出血疾病中的价值。方法:回顾性分析我院2004年10月~2006年3月应用宫腔镜检查异常子宫出血患者88例,术前均行B超检查,术中行定位取材或诊断性刮宫,均送病理检查,然后对其结果进行分析。结果:在异常子宫出血疾病的诊断中,B超诊断与病理诊断符合率55.68%,宫腔镜诊断与病理诊断符合率85.23%。结论:对异常子宫出血的病因诊断中,宫腔镜检查能直视宫腔内病变,定位取材,诊断准确率高,可作为诊断异常子宫出血的金标准,但宫腔镜检查不能取代病理组织学检查。

Clinical significance of hysteroscopy in diagnosis of abnormal uterine bleeding diseases

Objective:To explore the advantage and the value of the application of hysteroscopy in diagnosis of abnormal uterine bleeding diseases.Methods:88 cases received hysteroscopy for abnormal uterine bleeding diseases in this hospital from October,2004 to March,2006.All of the cases were checked with B-mode ultrasound before hysteroscopy,the specimens of positioned issue or specimens diagnostic curettage could be done during the opperation and all the specimens were sent for pathologic diagnosis.Results:The diagnosis by B-mode ultrasound was consistent with pathologic diagnosis at the rate of 55.68%,diagnosis by hysteroscopy were at the rate of 85.3%.Conclusion:For diagnosis of abnormal uterine bleeding diseases,hysteroscopy is more accurate,pathological changes can be visually viewed and the specimens can be precisely positioned.Hysteroscopy is golden criterion.Nevertheless,hysteroscopy will not replace pathologic diagnosis.