摘要
目的 探究宫腔镜诊治急性子宫出血的临床效果.方法 选择2011年1月～2013年6月本院急诊科收治的急性子宫出血患者82例,随机将其分为观察组和对照组,每组各41例.观察组经宫腔镜进行诊治,对照组采取B超检查＋刮宫术治疗的模式.通过组织病理学诊断对两种方法的诊断率和治疗效果进行评价,并进行统计学分析.结果 与组织病理学诊断比较,对照组的诊断率为58.5％,观察组的诊断率高达92.7％,两组比较差异有统计学意义（P＜0.05）;观察组的总有效率为100.0％,对照组为85.4％,两组比较差异有统计学意义（P＜0.05）.结论 与B超检查比较,宫腔镜检查具有更准确、直观、安全的优势,其对病变部位的治疗也有显著效果,应在急诊中首选宫腔镜法对急性子宫出血进行诊治.
Objective To discuss the effect of diagnosing and treating acute uterine bleeding using hysteroscopy. Methods 82 patients with acute bleeding treated in the department of emergency of our hospital from January 2011 to June 2013 were selected and divided into the observation group （n=41） and the control group （n=41）.The observation group was given the hysteroscopy for diagnosis and treatment,and the control group was given B ultrasound examination ＋ curettage treatment mode. The diagnostic rate and clinical effect of the two groups were evaluated through the histopathological diagnosis,and the results were statistically analyzed. Results Compared with the histopathological diagnosis,the diagnostic rate of the control group was 58.5%,while the diagnostic rate of hysteroscopy was 92.7%,and there was a statistical difference of the two groups （P〈0.05）;the total effective rate of the observation group was 100.0%, while the control group was 85.4%,and there was a statistical difference of the two groups （P〈0.05）. Conclusion Compared with the B ultrasound,the hysteroscopy examination has more accurate, intuitive, safe advantage,and has significant effect in the treatment of lesions,the hysteroscopy method should be the preferred method for the diagnosis and treatment of acute bleeding.
出处
《中国当代医药》
2014年第14期59-61,共3页
China Modern Medicine
关键词
宫腔镜
B超
急性子宫出血
Hysteroscopy
B ultrasound
Acute uterine bleeding
