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目的探讨宫腔镜在诊断异常子宫出血中的临床价值。方法对本院112例异常子宫出血患者应用宫腔镜检查宫内病变,同时在宫腔镜下检查其病理组织,与B超检查结果进行比较。结果术前B超检查宫腔内占位病变发生率为38.2%,与病理诊断总符合率为42.05%。宫腔镜检查宫腔内占位病变发生率为63.5%,与病理诊断结果总符合率为68.27%。结论宫腔镜检查诊断准确率较B超检查高,与病理组织学联合检查可作为诊断异常子宫出血的标准。
Objective To investigate the clinical value of hysteroscopy in the diagnosis of abnormal uterine bleeding. Methods Hysteroscopy was used to detect intrauterine lesions in 112 cases of abnormal uterine bleeding in our hospital. Hysteroscopy was used to examine the pathological tissues and the results were compared with those of B ultrasound examination. Results The incidence of intrauterine space occupying lesions was 38.2% before operation and the total coincidence rate with pathological diagnosis was 42.05%. Hysteroscopy intrauterine occupancy lesions was 63.5%, with pathological diagnosis of the total coincidence rate of 68.27%. Conclusion The accuracy of hysteroscopy diagnosis is higher than that of ultrasound examination, and combined with histopathology examination can be used as a standard to diagnose abnormal uterine bleeding.