阴道B超和宫腔镜检对异常子宫出血的临床价值研究  

Clinical research of diagnostic value of transvaginal ulsonography and hysteroscopy in 247 patients with abnormal uterine bleeding

作　　者：汤淼云 朱辉玲[1] 

机构地区：[1]湖南省浏阳市人民医院,湖南浏阳410300

出　　处：《中国内镜杂志》2008年第6期618-620,共3页China Journal of Endoscopy

摘　　要：目的探讨阴道B超和宫腔镜检对异常子宫出血病因诊断的临床价值。方法对247例异常子宫出血患者,进行阴道B超和宫腔镜检查,并同时进行病理活检检查。结果最常见病因为子宫内膜息肉,其次为子宫内膜增生过长和子宫黏膜下肌瘤;绝经后妇女子宫异常出血病因与子宫内膜增生过长和子宫内膜息肉、子宫内膜癌及子宫内膜炎有关;阴道B超联合宫腔镜检联合镜检检出率较高,3组间检出率差异具有统计学意义(P<0.01)。阴道B超与宫腔镜检检出率间差异具有统计学意义(P<0.01)。对于子宫内膜息肉、子宫内膜增生过长及宫颈管息肉,宫腔镜检检出率显著高于阴道B超(P<0.05)。阴道B超无法检测出子宫内膜炎。而对于黏膜下肌瘤、宫腔妊娠物残留、子宫内膜癌和宫内节育环嵌顿等其他病例,两者检出率差异不具有统计学意义(P>0.05)。结论阴道B超联合宫腔镜检可以提高异常子宫出血检出率。[Objective] To evaluate the diagnostic value of transvaginal ulsonography and hysteroscopy in patients with abnormal uterine bleeding. [Methods] 247 patients with abnormal uterine bleeding were chosen and the transvaginal ulsonography and hysteroscopy were used. [Results] The most popular reason for bleeding was endometrial polyp, then endometrial hyperplasis and submucous myoma. The coincidence rate of diagnosis of hysteroscope combined with ultrasound diagnosis was the higherst. In endometrial polyp, endo...

关 键 词：阴道B超 宫腔镜 异常子宫出血 

分 类 号：R711[医药卫生—妇产科学]