摘要
目的:探讨宫腔镜检查术在绝经后出血中的诊断价值。方法:应用宫腔镜检查绝经后出血患者151例,术中行定位取材或诊断性刮宫;刮出物送病理检查。结果:宫腔镜诊断子宫内膜萎缩、黏膜下子宫肌瘤、子宫内膜增生、子宫内膜癌的敏感性分别为94.91%、85.71%、75%、60%。结论:宫腔镜检查绝经后出血,可提高对子宫内膜萎缩及黏膜下子宫肌瘤的诊断率;尽管对子宫内膜癌的诊断敏感性与单纯诊刮相似,但可观察到更详细的形态学变化。
Objective. To evaluate hysteroscopy in diagnosis of postmenopausal bleeding （PMB）. Methods：One hundred and fifty one cases with PMB were examined by hysteroscopy with curettage or endometrial biopsy at the same time. Results：The sensitivity in detecting endometrial atrophy, submucous myoma, endometrial hyperplasia and arcinoma were 94. 91%, 85.71%, 75 %, and 60 % respectively. Conclusion： Hysteroscopy for PMB may enhance efficacy in identifying endometrial atrophy and submucous myoma. Although it is similar to D＆C in diagnosis of endometrial carcinoma , it shows more details of morphologic changes.
出处
《实用临床医学（江西）》
CAS
2006年第7期84-85,共2页
Practical Clinical Medicine
关键词
宫腔镜检查
绝经后出血
子宫内膜萎缩
子宫内膜癌
hysteroscopy
postmenopusal bleeding
endometrial atrophy
endometrial carcinoma
