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目的探讨宫腔镜在异常子宫出血临床诊断中应用及病理符合率。方法回顾2005年12月-2008年12月我院门诊异常子宫出血患者125例采用宫腔镜检查的临床资料进行总结分析。结果腔镜检查:发现宫颈管息肉15例,子宫内膜息肉27例,黏膜下肌瘤26例,胚物残留3例,子宫内膜异位灶8例,子宫内膜炎4例,疑似子宫内膜癌8例,子宫畸形3例,宫腔粘连3例,正常24例。宫腔镜诊断121例,与病理符合101例,宫腔镜诊断与病理符合率80.8%。结论通过本组病例观察,异常子宫出血125例应用宫腔镜检查,宫腔镜检查异常101例,正常24例,与病理检查结果进行比对,宫腔镜诊断与病理符合率80.8%。充分说明宫腔镜检查在诊断异常子宫出血上有这较高的临床诊断准确性。
Objective To investigate the application of hysteroscopy in clinical diagnosis of abnormal uterine bleeding and pathological coincidence rate. Methods The clinical data of 125 cases with abnormal uterine bleeding in our hospital from December 2005 to December 2008 were retrospectively analyzed. Results endoscopy: found in 15 cases of cervical polyp, 27 cases of endometrial polyps, 26 cases of submucosal fibroids, embryo residue in 3 cases, 8 cases of endometriosis, 4 cases of endometritis, suspected uterus 8 cases of endometrial cancer, 3 cases of uterine malformations, 3 cases of intrauterine adhesions, and 24 cases of normal. Hysteroscopy diagnosis of 121 cases, consistent with the pathological 101 cases, hysteroscopy diagnosis and pathological coincidence rate of 80.8%. Conclusions Through the observation of this group of patients, hysteroscopy was used in 125 cases of abnormal uterine bleeding, 101 cases were abnormal by hysteroscopy and 24 cases were normal, which was compared with the pathological findings. The coincidence rate of hysteroscopy and pathology was 80.8%. Full description of hysteroscopy in the diagnosis of abnormal uterine bleeding on the higher accuracy of clinical diagnosis.