摘要
目的 探讨宫腔镜对不育子宫内异常诊断的重要性。方法 对 2 5 2例不育妇女的宫腔镜检查结果进行回顾性分析。结果 2 5 2例中 14 9例镜下有异常发现 ,占 5 9.13% ,常见的宫内异常包括 :子宫内膜息肉、子宫粘膜下肌瘤、宫腔粘连、子宫畸形、子宫内膜增生、子宫内膜癌等。不育合并月经异常者宫腔镜下 70 .5 6 %有异常发现 ,而月经正常者宫腔镜下异常发现率为 4 5 .11% ,两者相比有非常显著性差异 (P <0 .0 1)。结论 宫腔镜检查术具有良好的可接受性和准确性 ,可以及时发现不育妇女的宫内病变 ,有较高的阳性发现率。
Objective To explore the essentiality of hysteroscopy in the diagnosis of intrauterine lesions in sterility women.Methods To analyze the results of hysteroscopy diagnosis in 252 sterility women retrospectively.Results It is showed that 149 women (59.13%) had abnormal hysteroscopic findings.The most common abnormalities were:endometrial polyps submucous myomas,uterus synechiae,uterus deformity endometrial hyperplasia and endometrial carcinoma etc. 70.56 % (55/78) of the women with abnormal uterine bleeding had abnormal hysteroscopic findings and 45.11% of women with normal menstruation had the abnormal hysteroscopic findings.There was significant difference ( P <0.01) between these two groups.Conclusions Hysteroscopy is a simple and reliable way to explore the uterus cavity.Our study indicates that the sterility women often had intrauterine lesions,so it is essential for them to be performed hysteroscopy.
出处
《北京医学》
CAS
北大核心
2003年第4期251-253,共3页
Beijing Medical Journal
