摘要
目的:观察并研究在异常子宫出血诊断中应用宫腔镜的意义,以期为临床诊治工作提供一定参考。方法:选取2017年3月~2019年5月本院收治的105例异常子宫出血患者为研究对象。依次对所有患者展开传统阴道B超检查与宫腔镜检查。将病理结果作为诊断金标准,对比并评价两种检查方法的诊断结果。结果:本组105例异常子宫出血患者的病理诊断结果显示,子宫内膜息肉患者有28例,子宫黏膜下肌瘤26例,子宫内膜增生过长15例,子宫内膜炎13例,宫内胚胎残留12例,子宫内膜癌11例。与病理诊断结果相比,宫腔镜诊断符合率高达98.10%,相比于B超检查诊断符合率(68.57%)显著升高,差异明显,P<0.05。此外,采用宫腔镜对本组105例异常子宫出血患者进行辅助治疗,回访结果显示,所有患者均取得了显著的疗效,除子宫内膜癌患者外,其余患者的治疗总有效率均达到了90%以上。结论:宫腔镜检查方法具有操作简便、直观等优势,可有效提高异常子宫出血的诊断符合率。
Objective:To observe and study the significance of hysteroscopy in the diagnosis of abnormal uterine bleeding,in order to provide some reference for clinical diagnosis and treatment.Methods:A total of 105 patients with abnormal uterine bleeding admitted to our hospital were selected as the research objects,all of whom were admitted during the period from March 2017 to May 2019.All patients were examined by traditional vaginal B-ultrasound and hysteroscopy were performed on them in turn.The pathological results were used as the gold standard for diagnosis.The results of the two methods were compared and evaluated.Results:Pathological diagnosis results of 105 patients with abnormal uterine bleeding in this group showed that there were 28 cases of endometrial polyps,26 cases of uterine submucosal fibroids,15 cases of endometrial hyperplasia,13 cases of endometritis,12 cases of intrauterine embryo residue,and 11 cases of endometrial cancer.Compared with pathological diagnosis,the diagnostic coincidence rate of hysteroscopy was 98.10%,which was significantly higher than that of B-ultrasound(68.57%),and the difference was significant(P<0.05).In addition,105 patients with abnormal uterine bleeding were treated with hysteroscopy,and the follow-up results showed that all patients achieved significant efficacy,with the total effective rate of more than 90%except for patients with endometrial cancer.Conclusion:Hysteroscopy has the advantages of simple and intuitive operation,and can effectively improve the diagnostic compliance rate of abnormal uterine bleeding.
作者
鞠薇
JU Wei(Chaoyang Second Hospital,Liaoning Chaoyang 122000)
出处
《中国医疗器械信息》
2022年第5期93-95,共3页
China Medical Device Information
关键词
异常子宫出血
宫腔镜
诊断意义
abnormal uterine bleeding
hysteroscopy
diagnostic significance
