摘要
目的 探讨宫腔镜检查 (HysteroscopyHS)对妇女围绝经期异常子宫出血 (Perimenopausalu terinebleedingPMUB)病因诊断的价值。 方法 对 15 8例PMUB进行病因诊断 ,在术中同时定位取活检及诊断性刮宫做病理检查。 结果 HS诊断子宫内膜病变的敏感性为 87 8% (79/90 ) ,对子宫内膜息肉样病变为 96 2 % (2 5 /2 6 ) ,子宫粘膜下肌瘤病为 (3/4) ,子宫内膜增殖症为 6 2 5 % (2 0 /32 ) ,子宫内膜癌为 (3/5 )。 结论 HS是PMUB患者首选的检查方法 ,可直视下观察子宫内膜的形态变化。与诊断性刮宫。
Objective To evaluate the value of hysteroscope in the diagnosis of the cause of perimenopausal uterine bleeding. Methods 158 patients were checked with HS.Orientation biopsy and diagnostic uterine curettage were performed. Results The rate of the sensitivity of HS for endometrial illness was 87.8%(79/90),endometrial ployp 96.20%(25/26),submucous fibromyoma 3/4,endometrial proliferation 62.5%(20/32),Endometrial cancer 3/5. Conclusions Endometrium can be directly seen with HS.The conbination of HS with uterine curettage and pathological examination is an optimal method in early diagnosis of the cause of PUMB.
出处
《中国微创外科杂志》
CSCD
2002年第3期167-168,共2页
Chinese Journal of Minimally Invasive Surgery
