宫腔镜技术在异常子宫出血病人的诊断治疗中的应用价值  

Value of hysyeroscopic technology in the diagnosis and treatment of abnormal uterine bleeding

作　　者：王莹[1] 徐彩临[1] 曹艳花[1] 陈颖[1] 

机构地区：[1]厦门市第三医院妇产科,福建厦门361100

出　　处：《海南医学院学报》2015年第4期527-529,533,共4页Journal of Hainan Medical University

摘　　要：目的:探讨异常子宫出血的常见原因和宫腔镜在异常子宫出血病人中的应用价值。方法:选取因异常子宫出血在我院住院行宫腔镜手术的病人94例为研究对象,分析其宫腔镜检查、术前超声情况、术后病理以及宫腔镜治疗术后的效果。结果:异常子宫出血病因宫腔镜诊断的阳性率高于超声诊断,差异具有统计学意义(P<0.05)。子宫肌瘤的患者行宫腔镜电切后,异常子宫出血的症状全部改善,子宫内膜息肉和宫颈管息肉的患者行息肉电切术后,少部分患者症状改善不理想,需结合激素药物治疗。结论:功能失调性子宫出血、子宫内膜息肉、子宫肌瘤是异常子宫出血常见原因,宫腔镜检查能明确其原因,宫腔镜电切术治疗子宫肌瘤效果好,治疗子宫内膜息肉后辅助药物治疗能达到满意的治疗效果,所以,宫腔镜技术应成为异常子宫出血的首选检查治疗方法。Objective：To explore the common causes of abnormal uterine bleeding and the value of hysteroscopic application in patients with abnormal uterine bleeding.Methods：94patients undergoing hysteroscopic surgery were enrolled in the study,analysis of the hysteroscopy,preoperative ultrasound cases,pathological and palace the effect of postoperative endoscopic treatment were conducted.Results：The Diagnostic accuracy of hysteroscopy was significant higher than that of ultrasound（P〈0.05）.Patients with endometrial polyp showed improvements after undergoing hysteroscopy surgery,but some patients with endometrial neoplasia or with cervical polyp didn＇t get satisfying treatment effects and extra drugs should be given.Conclusion：Dysfunctional uterine bleeding,endometrial polyps,uterine fibroids are common causes of abnormal uterine bleeding,hysteroscopy can show exact cause of the disaease,hysteroscopic resection of uterine fibroids show good effects.When combined with adjuvant therapy,it also show satisfactory therapeutic effects.Therefore,hysteroscopy techniques should become the preferred method of examination and treatment of abnormal uterine bleeding.

关 键 词：宫腔镜 异常子宫出血 超声 

分 类 号：R129[医药卫生—环境卫生学]