用宫腔镜检查诊断流产清宫术后宫内异常回声的效果研究  

Study of effect of using hysteroscopy for diagnosis of uterine cavity abnormalities of abortion curettage

作　　者：陈丽 张学秀 冯梅 

机构地区：[1]成都双楠医院,四川成都610047

出　　处：《当代医药论丛》2016年第6期3-4,共2页

摘　　要：目的 ：探讨用宫腔镜检查诊断流产清宫术后宫内异常回声的临床效果。方法 ：对2014年1月-2015年1月期间在我院进行流产清宫术的65例患者的临床资料进行回顾性研究。接受流产清宫术后,这些患者均进行了B超检查,结果显示其子宫内均存在异常回声。然后,使用宫腔镜对这些患者进行诊断。将术后病理检查的结果作为最终的诊断结果,比较用B超检查及宫腔镜检查诊断流产清宫术后宫内异常回声的准确率。结果：与进行病理诊断的结果相比较,用宫腔镜检查诊断宫内残留妊娠组织、子宫瘢痕处存在憩室的准确率均明显高于用B超检查进行诊断的准确率,差异具有显著性（P〈0.05）。结论 ：用宫腔镜检查诊断流产清宫术后宫内异常回声的效果显著,可准确地判定患者宫内病灶的具体位置及类型,安全性高。此诊断方法值得在临床上推广应用。Objective： To investigate the clinical value of hysteroscopy in the diagnosis and treatment of abortion intrauterine abnormalities. Methods： a total of 2014 January to 2015 January in our hospital abortion by ultrasound tip intrauterine abnormal echo 65 cases of pregnant women as the research object, on the maternal by hysteroscopy, B-ultrasound, pathology, diagnosis and comparison of accuracy. Results： the diagnostic accuracy rate of intrauterine fetal residual pregnancy by B ultrasonic diagnosis was 74.2%, and the diagnostic accuracy rate was 100%, and the accuracy rate of hysteroscopy was higher than that of B ultrasound, P〈 0.05. Conclusion： clinical abortion curettage after ultrasound tip intrauterine have abnormal echo of women using hysteroscopy for diagnosis and treatment and to improve the diagnostic accuracy, and timely treatment. The operation is safe, simple and easy to recover.

关 键 词：流产清宫术 宫腔镜 宫内异常回声 B超检查 

分 类 号：R713[医药卫生—妇产科学]