目的比较B超检查和宫腔镜检查对子宫出血患者的诊断价值。方法应用B超检查及宫腔镜对80例子宫出血患者进行检查分析。结果宫腔镜对宫内病变的诊断正确性几乎达100%,B超检查可提示子宫内膜厚度,但不能做出病因诊断;单纯诊断性刮宫术有25%的遗漏率。结论对子宫出血患者,可先做B超以了解子宫及盆腔情况,再在宫腔镜下同时行诊刮,做组织病理检查,已成为子宫出血的最佳诊断手段。 Objective To compare the diagnostic value of B-ultrasound and hysteroscopy in patients with uterine bleeding. Methods B-ultrasound and hysteroscopy in 80 cases of uterine bleeding were examined and analyzed. Results The accuracy of hysteroscopy in the diagnosis of intrauterine lesions was almost 100%. B-ultrasound could indicate the thickness of endometrium but not etiological diagnosis. The 25% omission rate was found in simple diagnostic curettage. Conclusion For patients with uterine bleeding, B-ultrasound can be used to understand the situation of the uterus and pelvis, and then under the hysteroscopy curettage, histopathological examination has become the best diagnostic tool for uterine bleeding.