摘要
目的探讨宫腔镜诊断绝经前后异常子宫流血的临床价值及安全性。方法回顾性分析2010年1月至2015年1月因异常子宫出血于重庆市长寿区人民医院妇产科行宫腔镜检查的272例患者的临床特点及组织病理学资料。结果组织病理学诊断子宫内膜息肉75例．其中5例镜下误诊为子宫黏膜下肌瘤，镜下诊断符合率为93．3％（70175）；子宫黏膜下肌瘤50例，符合率为90．9％（50／55）：子宫内膜增生症97例，其中7例镜下误诊为不典型增生或癌，符合率92．8％（90／97）；不典型增生或子宫内膜癌19例，符合率为73．1％（19／26）；萎缩性子宫内膜23例；宫内节育环残留8例。结论绝经前女性以子宫内膜增生、子宫黏膜下肌瘤、子宫内膜息肉为主，子宫内膜癌及癌前病变少见；而绝经后女性主要以子宫内膜息肉、萎缩性子宫内膜、癌及癌前病变为主。宫腔镜对常见的子宫内膜病变具有良好诊断价值，宜同时配合组织病理学检查。
Objective To evaluate the clinical value and safety of hysteroscopy in diagnosis of abnormal uterine bleeding. Methods The clinical characters and histopathological data of 272 cases of abnormal uterine bleeding were retrospectively analyzed. They received hysteroseopy in our hospital from Jan. 2010 to Jan. 2015. Results Histopathological diagnosis showed 75 cases were with endometrial polyps, including 5 cases misdiag- nosed as submucosal fibroids, and the correct diagnostic rate was 93.3% （70/75）. 50 cases were with submucosal fibroids,and the diagnostic rate was 90.9% （50/55）. 97 cases were endometrial hyperplasia, including 7 eases misdiagnosed as atypical hyperplasia or cancer by hysteroscopy,and the correct diagnostic rate was 92.8% （90/ 97）. 19 cases were atypical hyperplasia or endometrial carcinoma, and the diagnostic rate was 73.1% （19/26）. Atrophic endometrium were 23 cases. 8 cases had intrauterine device remained. Conclusions Premenopausal women are more likely to present with endometrial hyperplasia, submucosal fibroids, endometrial polyps, while endometrial cancer and precancerous lesions are rare. But in postmenopausal women endometrial polyps, atrophic endometrium, cancer and precancerous lesions are mainly included. Hysteroscopic has a good diagnostic value in endometrial diseases which should be combined with histopathological examination.
出处
《中华内分泌外科杂志》
CAS
2016年第3期221-224,共4页
Chinese Journal of Endocrine Surgery
关键词
宫腔镜
异常子宫出血
Hysteroscopy
Abnormal uterine bleeding
