摘要
目的探讨宫腔镜诊治顽固性子宫异常出血的方法、临床价值及疗效.方法 2002年元月～2003年6月对久治不愈的子宫异常出血患者进行宫腔镜检查,其中30例行病灶摘除、异物取出及内膜电切术.结果宫腔镜检查发现顽固性子宫出血的病变类型依次是:子宫内膜息肉、子宫内膜增生过长、子宫内膜炎、宫腔异常物残留、子宫肉膜癌、颈管肌瘤,与病理检查符合率依次为100%、62.5%、83.3%、100%、66.7%和100%,比较原临床诊断与病理检查符合率14.29%、37.50%、16.67%、80.00%、0和50.00%,差异有显著性意义.经宫腔镜治疗的良性病变病例,随访6～2个月,有效率达96.67%.结论宫腔镜是目前诊断和治疗顽固性子宫异常出血的最佳方法,手术安全性较高,值得临床推广、应用.
Objective: To investigate the methods, clinical significance and effectiveness of hysteroscope in diagnosing and treating obstinate uterine bleeding (AVB). Methods: From January 2003 to June 2003,40 patients with AVB under hysteroscopy, 30 cases were performed extraction of focus, foreign bodies and the suspected endometrium. Results: Through hysteroscopy found that the reasons of AVB were endometrial polyps, hyperplasia of endometrium, endometritis, foreign body in uterine cavity ,carcinoma of endometrium and submucous myomas. The suspected tissue was taken for pathologic examination, finding that the rates of accuracy through hysteroscopy were 100%, 62.5%, 83.3%, 100%, 66.7%, 100%, but the rates of accuracy through clinical diagnosis were 14.29%, 37.5%, 16.67%, 80%, 0,50%. There was a significant difference between them. During six months to 2 years′ follow-up, the patients under hysteroscope -therapy were proved to be improved in their uterine bleeding, giving s success rate to 96.67%. Conclusion: Hysteroscopy is a safe and effective procedure in diagnosing and treating obstinate abnormal uterine bleeding.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第2期185-187,共3页
China Journal of Endoscopy
关键词
宫腔镜探查术
宫腔镜电切术
子宫出血
hysteroscope
hysteroscope electral cutting
abnormal uterine bleeding
