探究宫腔镜技术在异常子宫出血患者诊断治疗中的应用价值  

Practical value of hysteroscopy in the diagnosis and treatment of patients with abnormal uterine bleeding

作　　者：柳丽君 LIU Li-jun(Third People’s Hospital of Baiyun District,Guangzhou 510545,China)

机构地区：[1]广州市白云区第三人民医院,510545

出　　处：《中国现代药物应用》2021年第14期60-62,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨宫腔镜技术在异常子宫出血患者诊断治疗中的应用价值。方法64例异常子宫出血患者,随机分为观察组和对照组,各32例。对照组给予常规治疗,观察组使用宫腔镜技术治疗。分析观察组不同疾病类型宫腔镜诊断符合率,比较两组治疗效果。结果观察组患者均进行宫腔镜检查与病理学检查,以病理学检查为金标准,宫腔镜诊断符合29例,符合率为90.63%,其中子宫黏膜下肌瘤、功能失调性子宫出血、子宫内膜息肉、子宫内膜恶变和不典型增生的宫腔镜诊断符合率分别为100.00%、94.74%、75.00%、66.67%。观察组治疗总有效率96.88%高于对照组的78.13%,差异有统计学意义(P<0.05)。结论对于异常子宫出血患者,宫腔镜技术不仅能够准确诊断患者子宫异常出血病因,且治疗效果明显,促进了患者预后,值得临床推广。Objective To discuss the practical value of hysteroscopy in the diagnosis and treatment of patients with abnormal uterine bleeding.Methods A total of 64 patients with abnormal uterine bleeding were randomly divided into observation group and control group,with 32 cases in each group.The control group was treated with conventional methods,and the observation group was treated with hysteroscopy.The diagnostic coincidence rate of hysteroscopy for different disease types in the observation group was analyzed,and the therapeutic effect of the two groups was compared.Results Patients in the observation group underwent hysteroscopy and pathological examination.Taking pathological examination as the gold standard,29 cases were diagnosed with hysteroscopy,with a coincidence rate of 90.63%.Among them,the diagnostic coincidence rates of hysteroscopy for uterine submucosal fibroids,dysfunctional uterine bleeding,endometrial polyps,endometrial malignant transformation and dysplasia were 100.00%,94.74%,75.00%,and 66.67%,respectively.The total effective rate 96.88%of the observation group was higher than 78.13%of the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with abnormal uterine bleeding,hysteroscopy can not only accurately diagnose the cause of abnormal uterine bleeding,but also has obvious therapeutic effects.It can promote the prognosis of patients,and is worthy of clinical promotion.

关 键 词：宫腔镜技术 异常子宫出血 诊断 治疗 

分 类 号：R711.74[医药卫生—妇产科学]