宫腔镜与病理检查对绝经后子宫出血的诊断价值  

The evaluation of hysteroscopy and p athology in diagnosis of postmenopausal bleeding

作　　者：李晋华[1] 陈爱香[1] 

机构地区：[1]山西省长治医学院附属和济医院,046000

出　　处：《中国航天医药杂志》2002年第5期6-8,共3页Medical Journal of CASE

摘　　要：目的探讨宫腔镜检查术对绝经后子宫出血的诊断价值。方法应用宫腔镜检查绝经期子宫出血患者105例,术中定位取材做病理检查。结果宫腔镜诊断子宫内膜癌的敏感性为83.33%,子宫粘膜下肌瘤为100%,萎缩性子宫内膜为81.82%,子宫内膜息肉为75%,子宫内膜炎为75%,子宫内膜增生过长为72.73%,宫腔镜下定位活检的准确率为83.81%。结论宫腔镜检查绝经期子宫出血可提高对某些疾病的诊治率。Objective To evaluate hysteroscopy in the diagnosis of postmenopausal bleeding.Methodes105cases with PMB were examined by panoramich ysteroscopy with curattage or endom etrial biopsy done at the same time.Results The-sensitivity of pathology and hystex ocopy in diagnosis carcinoma of endometrium was 83.33%,in submucous myo ma was 100%,inatrophic endometrium was 81.82%,in endometrium polyp was 75%,in endometritis was 75%,inhyperplusia ofe ndometrium was 72.73%,the accuracy of patholog y alive through hystexoscopy was 83.81%.Conclusion Hystexocopy could improve tye accuracy in diagnosis and cure some d iseases of postmenopausal bleeding.[

关 键 词：宫腔镜 病理检查 绝经后子宫出血 诊断 

分 类 号：R711.04[医药卫生—妇产科学]