摘要
目的分析宫腔镜诊治子宫内膜息肉的临床价值。方法从2006年7月至2009年3月在我院因异常子宫出血就诊的749名患者中,选择经阴道超声和/或宫腔镜检查提示为子宫内膜息肉者177例,进行经宫颈子宫内膜切除术(TCRE)或经宫颈子宫内膜息肉切除术(TCRP)治疗,并比较B超和宫腔镜对子宫内膜息肉的诊断效果。结果与病理诊断比较,B超和宫腔镜诊断子宫内膜息肉的敏感性分别为65.6%和96.0%。宫腔镜治疗子宫内膜息肉后异常子宫出血的治愈率达95.2%。无并发症发生。结论宫腔镜诊断子宫内膜息肉非常准确、效果好、创伤小、复发率低,是治疗子宫内膜息肉所致异常子宫出血的好方法。
Objective To analyze the clinical value of hysteroscopy in the diagnosis and treatment of endometrial polyps. Methods Of 749 cases of abnormal uterine bleeding treated in our hospitals from July 2006 to March 2009,177 cases were suggested to be endometrial polyps in virginal B-ultrasonography and/or hysteroscopy. These patients with endometrial polyps underwent trartscervical resection of endometrium（TCRE）or trartscervical resection of polyp（TCRP）,and the diagnostic effects between B-ultrasonography and hysteroscopy were compared. Results When compared with pathological diagnosis,the sensitivity of the diagnosis by B-ultrasonography and hysteroscopy were 65.6% and 96.0% respectively. The curative rate of abnormal uterine bleeding due to endometrial polyps was 95.2% by hysteroscopy. No complications occurred. Conclusion Hysteroscopic diagnosis of endometrial polyps is of high accuracy,good effect,minimal injury and low recurring rate. It＇s a good approach in the treatment of abnormal uterine bleeding resulted from endometrial polyps.
出处
《世界中西医结合杂志》
2010年第2期142-144,共3页
World Journal of Integrated Traditional and Western Medicine
