摘要
目的:探讨宫腔镜(Hysteroscopy,HS)检查对绝经后子宫出血(postm enpausal b leed ing,PMB)的病因诊断价值。方法:应用宫腔镜检查绝经后子宫出血患者192例,术中同时定位取材做病理检查。结果:宫腔镜诊断子宫内膜癌的敏感性为80.00%,子宫黏膜下肌瘤100.00%,萎缩性子宫内膜91.76%,子宫内膜息肉68.18%,子宫内膜炎70.00%,子宫颈管息肉100.00%,子宫内膜增生过长73.91%;宫腔镜下定位活检准确率为81.77%。结论:宫腔镜检查是PMB患者首选的检查方法,可直视下观察子宫内膜形态变化,结合病理检查是早期诊断宫腔病变的最佳手段。
Objective： To evaluate hysteroscopy in the diagnosis of the cause of postmenopausal uterine hemorrhage. Methods： 192 cases with postmenopausal uterine hemorrhage were examined by panoramic hysteroscopy with curettage or endometrial biopsy done at the same time. Results： The sensitivity of pathology and hysteroscopy in diagnosis of endometrlum carcinoma was 80. 00%, in submueous myo- ma was 100%, in atrophic endometrium was 91.76%, in endometrium polyp was 68.18%, in endometritis was 70. 00%, in hyperplusia of endometrium was 73.91%, in cervix polyp was 100%. The accuracy of pathology alive through hysteroscopy was 81.77%. Conclusion： Endometrium can be directly seen with hysteroscopy, the combination of hysteroscopy with uterine curettage and pathological examination is an optimal method in early diagnosis of the cause of postmenopausal uterine hemorrhage.
出处
《中国妇幼保健》
CAS
北大核心
2006年第12期1674-1676,共3页
Maternal and Child Health Care of China
关键词
宫腔镜
病理学
绝经后子宫出血
Hysteroscopy
Pathology
Postmenopausal uterine hemorrhage.
