宫腔镜对异常子宫出血的诊治价值探讨  

Discussion on the value of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding

作　　者：修树 XIU Shu(Fushun Third Hospital,Fushun 113004,China)

机构地区：[1]辽宁省抚顺市第三医院,113004

出　　处：《中国现代药物应用》2022年第12期52-54,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨异常子宫出血的患者应用宫腔镜检查及治疗的作用。方法108例异常子宫出血患者,均行宫腔镜检查及病理检查。观察宫腔镜诊断符合率、宫腔镜辅助治疗效果。结果宫腔镜的诊断符合率为96.3%。应用宫腔镜辅助治疗3个月后对治疗结果进行回访,子宫内膜息肉、功能性子宫出血、子宫内膜炎、子宫内膜异位、子宫肌瘤、宫腔残留治疗有效率分别为94.1%、96.0%、94.7%、93.8%、90.9%、100.0%。结论异常子宫出血患者应用宫腔镜检查,可对病灶大小、形态、出血等情况进行直观观察,可做出正确诊断,宫腔镜辅助实施治疗,具有痛苦小、微创、治疗效果好的特点,值得临床应用。Objective To discuss the effect of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding.Methods All 108 patients with abnormal uterine bleeding underwent hysteroscopy and pathological examination.The coincidence rate of hysteroscopic diagnosis and the effect of hysteroscopic adjuvant therapy were observed.Results The diagnostic accuracy rate of hysteroscopy was 96.3%.The treatment results were followed up after 3 months of hysteroscopic adjuvant treatment.The effective rates of endometrial polyps,functional uterine bleeding,endometritis,endometriosis,hysteromyoma and uterine cavity residue were 94.1%,96.0%,94.7%,93.8%,90.9% and 100.0%.Conclusion Hysteroscopy for patients with abnormal uterine bleeding can directly observe the size,shape and bleeding of the lesion,and make a correct diagnosis.Hysteroscopy adjuvant treatment has the characteristics of less pain,minimally invasive and good therapeutic effect,which is worthy of clinical application.

关 键 词：宫腔镜 异常子宫出血 诊治价值 

分 类 号：R711.74[医药卫生—妇产科学]