宫腔镜检查508例临床分析  

Clinical study on 508 cases evaluated by hysteroscopy

作　　者：方月兰[1] 薛白[1] 赵萍[1] 

机构地区：[1]南京鼓楼医院集团宿迁市人民医院妇产科,江苏宿迁223800

出　　处：《徐州医学院学报》2011年第12期838-840,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的探讨宫腔镜检查诊断宫腔疾病的应用价值。方法回顾性分析我院508例妇科疾病宫腔镜检查的临床和病理资料。结果335例绝经前异常子宫出血患者宫腔镜下阳性发现者为125例（37．31％），包括子宫内膜息肉59例（17．61％），子宫黏膜下肌瘤15例（4．48％），子宫内膜增殖51例（15．22％）；44例绝经后子宫出血患者有阳性发现者12例，其中子宫内膜癌3例（6．82％）；41例不孕症患者中有阳性发现者25例（60．97％），主要是子宫畸形和官腔粘连。结论对于绝经前后异常子宫出血的诊断，应强调宫腔镜联合诊断性刮宫；对不孕症及复发性流产，应首选官腔镜检查；官腔镜是官腔疾病最有效的检查手段。Objective To evaluate hysteroscopy in diagnosis of intrauterine disease. Methods This was a retro- spective series of 508 patients with diagnosis of gynecologic disease evaluated by hysteroscopy. When necessary, the hyst- eroscopic examination in conjunction with dilatation and curettage （D＆C）. Results In the premenopausal women, 335 cases of abnormal uterine bleeding（AUB） were evaluated by hysteroscopy , abnormal findings were obtained in 125 of 335 cases（37.31% ） ,including endometrial polyps in 59 cases （17.61%）, submucosal myomas in 15 cases （4.48%）, endometrial hyperplasia in 51 cases （15.22%） ;In the 44 postmenopausal women, 12 abnormal findings were detected by hysteroscopy, cancer of the endometrium in 3 cases （6.82%） ;In infertile patients, abnormal findings were obtained in 25 of 41 cases （60.97%）, the most common abnormality detected were intrauterine synechiae and uterine malformations. Conclusions In peri or postmenopausal patients with AUB, the value of hysteroscopy and D＆C should be confirmed. Patients with a history of infertility and abortion should be submitted to hysteroscopy first. Hysteroscopie examination is the best way for diagnosis of intrauterine disease.

关 键 词：宫腔镜检查 诊断性刮宫 异常子宫出血 

分 类 号：R711.52[医药卫生—妇产科学]