宫腔镜及B超联合诊治绝经后出血的临床价值研究  

Clinical value study of hysteroscopy and B-ultrasound combined in the diagnosis and treatment of postmenopausal hemorrhage

作　　者：王佳佳 章璟 沈娟 Wang Jiajia;Zhang Jing;Shen Juan(Department of Gynecology,Lishui District People's Hospital,Nanjing 211200,China)

机构地区：[1]南京市溧水区人民医院妇科,江苏南京211200

出　　处：《实用妇科内分泌电子杂志》2024年第15期104-106,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨宫腔镜及B超联合诊治绝经后出血的临床价值。方法选取160例绝经后出血患者,均行宫腔镜、B超检查,观察患者临床特征和病理结果。结果经病理检查结果显示,子宫内膜增生43例(26.88%)、子宫内膜息肉76例(47.50%)、宫颈管息肉12例(7.50%)、子宫黏膜肌瘤21例(13.13%)、子宫内膜癌8例(5.00%)。宫腔镜+B超检查的诊断率、符合率、治愈率均高于宫腔镜检查或B超检查(P<0.05)。结论宫腔镜结合阴道B超检查能有效地提高绝经后子宫出血的检出率,对患者的早期诊断和治疗具有重要意义。Objective To explore the clinical value of hysteroscopy and B-ultrasound combination in the diagnosis and treatment of postmenopausal hemorrhage.Methods 160 patients with postmenopausal hemorrhage were selected and examined by hysteroscopy and B-ultrasound to observe the clinical features and pathological results.Results The pathological examination results showed that 43 cases(26.88%)of endometrial hyperplasia,76 cases(47.50%),12 cases(7.50%)of cervical canal polyps,21 cases(13.13%)of uterine submucosal fibroids,and 8 cases(5.00%)of endometrial cancer.The diagnostic rate,coincidence rate and cure rate of hysteroscopy+B ultrasound examination were higher than those of hysteroscopy or B ultrasound examination(P<0.05).Conclusion Hysteroscopy combined with vaginal B-ultrasound examination can effectively improve the detection rate of postmenopausal uterine bleeding,which is of great significance for the early diagnosis and treatmentof patients.

关 键 词：绝经后出血 病理特征 宫腔镜 出血原因 

分 类 号：R711[医药卫生—妇产科学]