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| 宫腔镜检查异常子宫出血168例临床分析 |
| Clinical analysis of 168 cases of hysteroscopy for abnormal uterine bleeding |
| 投稿时间：2018-01-25 |
| DOI：10.3969/j.issn.1000-0399.2018.12.018 |
| 中文关键词: 异常子宫出血 宫腔镜 阴道超声 |
| 英文关键词: Abnormal uterine bleeding Hysteroscopy Transvaginal sonography |
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| 中文摘要: |
| 目的 探讨宫腔镜检查在异常子宫出血（AUB）中的临床应用价值。方法 回顾整理2015年1月至2017年9月北京市西城区展览路医院妇科诊治的168例AUB患者的临床资料，对比分析其术前阴道超声诊断、宫腔镜检查与术后诊刮病理诊断符合率以及不同年龄段疾病特点。结果 除外宫内节育器异常，160例AUB患者的宫腔镜诊断与病理诊断的总符合率为88.13%，优于超声诊断总符合率（42.50%），差异有统计学意义（P<0.05），其中子宫内膜息肉和剖宫产子宫切口缺陷的诊断符合率分别达到94.17%和100.00%。不同年龄段AUB患者子宫内膜非典型增生或囊腺样增生及子宫内膜癌的发生率进行比较，差异有统计学意义（P<0.05）。结论 宫腔镜检查是发现子宫内膜病变的比较直接精准的诊断方法，优于阴道超声检查，对AUB诊治有较明显优势，值得临床推广。 |
| 英文摘要: |
| Objective To study the clinical value of hysteroscopy in the diagnosis of abnormal uterine bleeding (AUB). Methods The clinical data of 168 cases of AUBdiagnosed and treated by Gynecological Department ofour hospital wereretrospectively reviewed.The coincidence rate of hysteroscopy and pathological diagnosis of postoperative curettage as well as the characteristics of diseases of different ages were compared and analyzed. Results Exception for the intrauterine device abnormality, the total coincidence rate between hysteroscopic diagnosis and pathological diagnosis of 160 AUB patients was 88.13%, which was significantly higher than that of ultrasound diagnosis (42.50%, P<0.05).The diagnostic coincidence rate of endometrial polyps and uterine incision defectof caesarean section was 94.17% and 100.00%respectively. In different age groups, there was a significant difference in the incidence of endometrial benign and malignant lesions in AUB (P<0.05). Conclusion Hysteroscopy is a relatively direct and accurate diagnostic method for finding endometrial lesions, which is superior to vaginal ultrasound. It has obvious advantages in the diagnosis and treatment of AUB and is worthclinical promotion. |
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