宫腔镜诊断围绝经期异常子宫出血的价值评价  

Diagnostic value of hysteroscopy for abnormal uterine bleeding in perimenopause

作　　者：栗晓艳 叶希文 Li Xiaoyan;Ye Xiwen(Department of Obstetrics and Gynecology,Traditional Chinese Medicine Hospital of Xinyang,Xinyang 464000,China)

机构地区：[1]信阳市中医院妇产科,信阳464000

出　　处：《中国实用医刊》2023年第6期74-77,共4页Chinese Journal of Practical Medicine

摘　　要：目的探讨围绝经期异常子宫出血(AUBP)患者应用宫腔镜诊断的价值。方法抽取2020年1月至2022年1月信阳市中医院收治的AUBP患者140例,术前均行常规B超、宫腔镜及病理检查,且临床资料完整。将病理结果作为标准,统计常规B超、宫腔镜对AUBP患者妇科疾病的诊断符合率。结果140例AUBP患者经病理证实的妇科疾病,主要有子宫内膜息肉、增殖期子宫内膜、宫腔或宫颈管黏膜下肌瘤、子宫内膜增殖症、子宫内膜炎、子宫颈管内膜息肉、子宫内膜癌。宫腔镜对子宫内膜息肉、增殖期子宫内膜、宫腔或宫颈管黏膜下肌瘤、子宫内膜增殖症的单一疾病诊断符合率高于常规B超(P<0.05),两者其他疾病诊断符合率比较差异未见统计学意义(P>0.05);宫腔镜总诊断符合率高于常规B超(P<0.05)。结论AUBP病因多样,与常规B超比较,宫腔镜有较高的诊断价值,可明显提高子宫内膜息肉、增殖期子宫内膜、宫腔或宫颈管黏膜下肌瘤、子宫内膜增殖症的诊断符合率。Objective To investigate the diagnostic value of hysteroscopy for abnormal uterine bleeding in perimenopause(AUBP).Methods A total of 140 patients with AUBP who were admitted to Traditional Chinese Medicine Hospital of Xinyang from January 2020 to January 2022 were selected.Before operation,routine B-ultrasound,hysteroscopy and pathological examination were performed on these patients,and the clinical data of them were complete.The pathological results were taken as the standard,and the coincidence rate of conventional B-ultrasound and hysteroscopy in the diagnosis of gynecological diseases in AUBP patients were counted.Results Gynecological diseases in the 140 patients with AUBP included endometrial polyps,proliferative endometrium,uterine cavity or cervical canal submucosal fibroids,endometrial hyperplasia,endometritis,endocervical canal polyps and endometrial carcinoma.The coincidence rate of hysteroscopy for single disease,including endometrial polyps,proliferative endometrium,uterine cavity or cervical canal submucosal fibroids and endometrial hyperplasia,were higher than those of conventional B-ultrasound(P<0.05).There was no statistically significant difference in the coincidence rates in the diagnosis of the other diseases between the two methods(P>0.05).The total diagnostic coincidence rate of hysteroscopy was higher than that of conventional B-ultrasound(P<0.05).Conclusions The etiology of AUBP is diverse.Compared with conventional B-ultrasound,hysteroscopy has a higher diagnostic value,and can significantly improve the incidence of endometrial polyps,proliferative endometrium,uterine cavity or cervical canal submucosal fibroids,and endometrial hyperplasia.

关 键 词：宫腔镜 常规B超 围绝经期异常子宫出血 

分 类 号：R713.4[医药卫生—妇产科学]