宫腔镜诊治未婚女性异常子宫出血31例分析  

Diagnosis and Treatment of Abnormal Uterine Hemorrhage in 31 Unmarried Women by Hysteroscope

作　　者：陈雪梅[1] 韩临晓[1] 施永鹏[2] 唐云[1] 钟远玲[1] 姚婉珍[1] 黄美平[1] 

机构地区：[1]广东省东莞市石龙人民医院妇科,广东东莞523321 [2]上海市嘉定区妇幼保健院妇科

出　　处：《实用预防医学》2008年第3期788-790,共3页Practical Preventive Medicine

摘　　要：目的评价宫腔镜诊治未婚女性异常子宫出血的临床应用价值。方法在静脉麻醉或无麻醉下对31例未婚妇女异常子宫出血的患者行宫腔镜检查,同时宫腔镜下取可疑组织进行病理学检查。结果31例患者均成功在宫腔镜下完成了宫腔镜检查及病理取材,无一例处女膜损伤、宫颈损伤和子宫穿孔。病理诊断增殖期宫内膜5例,子宫内膜息肉9例,宫颈管息肉6例,宫内膜息肉合并宫颈管息肉4例,子宫内膜炎4例,子宫内膜单纯性增生2例,粘膜下肌瘤1例。结论对未婚患者的可疑宫内病变,或宫颈管病变,在不损伤处女膜的情况下行宫腔镜诊治,同时进行病理诊断是切实可行的,易于为患者接受,为临床处理提供了可靠依据,并取得较好疗效,值得推广使用。Objective To evaluate the clinical validity of diagnosis and treatment of abnormal uterine hemorrhage by hysteroscopy in unmarried women.Methods Totally 31 unmarried women with abnormal uterine hemorrhage were examined hysteroscopically,and biopsy was performed with or without IV anesthesia.The suspicious tissue specimens were taken for pathology examination.Results Thirty-one patients were satisfactorily completed hysteroscopy and biopsy.No virginal membrane break,cervices trauma,or uterine perforation occurred.Pathological examination revealed 5 proliferation phase of endometrium,9 polyp of endometrium,6 polyp of cervix tube,4 combined polyps of endometrium and cerval tube,4 endometritis,2 simplex hyperplasia of endometrium,and 1 submucous myoma.Conclusions The unmarried women who suffered from the suspicious intrauterine abnormalities or cervix diseases are successfully performed hysteroscopy without damaging the virginal membrane.The procedure is feasible and acceptable,and is valid in clinical practice.

关 键 词：宫腔镜 未婚女性 异常子宫出血 

分 类 号：R711[医药卫生—妇产科学]