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目的:观察分析宫腔镜在绝经后子宫出血(PMB)诊断中的应用价值。方法:选取我院2013年3月-2014年3月收治的100例绝经后子宫出血患者,全部患者分别接受B超和宫腔镜检查,B超检查视为对照组,宫腔镜检查视为观察组,回顾性分析两组患者临床资料。结果:经组织病理检查确诊,绝经后子宫出血原因包括:子宫内膜萎缩30例,子宫内膜炎22例,子宫内膜息肉20例,子宫肌瘤10例,子宫内膜癌10例,子宫内膜增殖8例;B超检查诊断准确率为43.00%,显著低于宫腔镜检查准确率82.00%(P<0.05)。结论:在绝经后子宫出血诊断中,宫腔镜可直接观察子宫病变情况,安全性、准确性、全面性优于B超检查,是诊断绝经后子宫出血最佳的方法,值得临床推广应用。
Objective: To observe and analyze the value of hysteroscopy in the diagnosis of postmenopausal uterine bleeding (PMB). Methods: A total of 100 patients with postmenopausal uterine bleeding who were admitted to our hospital from March 2013 to March 2014 were enrolled in this study. All patients underwent B-mode ultrasonography and hysteroscopy. B-mode ultrasonography was considered as control group. Hysteroscopy was considered as Observation group, retrospective analysis of two groups of patients clinical data. Results: The histopathological examination confirmed that the causes of postmenopausal uterine bleeding include: 30 cases of endometrial atrophy, 22 cases of endometritis, 20 cases of endometrial polyps, 10 cases of uterine fibroids, 10 cases of endometrial cancer, uterus Intimal hyperplasia in 8 cases; diagnostic accuracy of B ultrasound was 43.00%, significantly lower than the hysteroscopy accuracy of 82.00% (P <0.05). Conclusion: In the diagnosis of postmenopausal uterine bleeding, hysteroscopy can directly observe the uterine lesions, safety, accuracy, comprehensive superior to B-ultrasound, is the best method of diagnosis of postmenopausal uterine bleeding, worthy of clinical application.