子宫异常出血的诊断方法  

Methods for Diagnosis of Abnormal Uterine Bleeding

作　　者：陈蕾[1] 陈京芳[1] 

机构地区：[1]南京医科大学附属南京医院妇产科,南京210006

出　　处：《医学综述》2014年第15期2766-2768,共3页Medical Recapitulate

摘　　要：子宫异常出血存在于各年龄阶段的女性中,出血原因往往繁多复杂,诊断方法主要有传统的诊断性刮宫、子宫内膜活检、子宫内膜细胞学检查、声像学检查(阴道超声、子宫声像学造影)和宫腔镜检查。随着新技术的不断更新发展,传统的诊断方法正逐步被取代,目前宫腔镜下子宫内膜活检术已成为诊断子宫异常出血的金标准。而近年来子宫内膜细胞学检查因具有取材满意率高、并发症少、性价比高、患者耐受性好等特点而备受关注。Abnormal uterine bleeding, caused by various complicated reasons, is a common gynecologic problem among women of all ages. The diagnostic methods for this problem include dilation and curettage, endometrial biopsy, endometrial cytologic test, sonography（ transvaginal souography and sonohysterography）, and hysteroscopy. With the development of new technologies, the traditional diagnosing methods are being replaced gradually. At present, hysteroscopic biopsy is regarded as a golden criteria to diagnose abnormal uterine bleeding. While in recent years, endometrial cytologic test has been raising more attention for its advantages such as more satisfactory samplings, less complications, low cost, high accuracy of diagnosis and better tolerance of patients.

关 键 词：子宫异常出血 诊断性刮宫 子宫内膜活检 宫腔镜检查 子宫声像学检查 子宫内膜细胞学检查 

分 类 号：R711.74[医药卫生—妇产科学]