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  

Application value of hysteroscopy in diagnosis and treatment of abnormal uterine bleeding

作　　者：危薇 Wei Wei(Outpatient Department of Obstetrics and Gynecology,Xiantao Maternal and Child Health Hospital, Xiantao Hubei, 433000, China)

机构地区：[1]仙桃市妇幼保健院门诊妇产科,湖北仙桃433000

出　　处：《中外女性健康研究》2021年第18期53-54,共2页Women＇s Health Research

摘　　要：目的评析对异常子宫出血患者在诊断过程中使用宫腔镜技术的临床应用有效性。方法参加此调查的异常子宫出血患者就诊时间为2018年1月至2020年1月,随机取251例,均行宫腔镜检查并对病灶样本行病理诊断,记录诊断结果,判断患者异常出血病因并观察其治疗前后的生活质量变化情况。结果与病灶病理诊断结果相比,宫腔镜技术具有较高的诊断准确率,能够区别患者出血原因是否与患者患有内膜增生、子宫肌瘤、子宫息肉、子宫内膜病变或炎症等相关;对患者行对症治疗可显著降低患者子宫出血量并有效提升患者生活质量(P<0.05)。结论对异常子宫出血患者诊断时可借助宫腔镜技术并结合病理诊断进行判断,为患者提供针对性治疗方案可有效降低患者子宫出血量,并提升患者生活质量,患者满意度较高。Objective:To evaluate the effectiveness of hysteroscopy in diagnosis of abnormal uterine bleeding.Methods:A total of 251 patients with abnormal uterine bleeding were enrolled in this survey from January 2018 to January 2020.All patients underwent hysteroscopy and pathological diagnosis of the lesion samples.The diagnosis results were recorded to determine the causes of abnormal bleeding and the changes in the quality of life of patients before and after treatment.Results:Compared with pathological diagnosis of lesions,hysteroscopy has higher diagnostic accuracy and can distinguish whether the cause of bleeding is related to endometrial hyperplasia,uterine fibroids,uterine polyps,endometrial lesions or inflammation.Symptomatic treatment could significantly reduce uterine bleeding and effectively improve the quality of life of patients(P<0.05).Conclusions:The diagnosis of patients with abnormal uterine bleeding can be determined by hysteroscopy combined with pathological diagnosis.Providing targeted treatment for patients can effectively reduce the amount of uterine bleeding and improve the quality of life of patients,with high patient satisfaction.

关 键 词：宫腔镜技术 异常子宫出血 诊断 治疗 应用价值 

分 类 号：R711.52[医药卫生—妇产科学]