宫腔镜与诊断性刮宫对异常子宫出血诊断的对比研究  

Comparative Study of Hysteroscopy and Diagnostic Curettagein the Diagnosis of Abnormal Uterine Bleeding

作　　者：林芳 钟思 LIN Fang;ZHONG Si(Health Care Department of Yichun Yuanzhou District Maternal and Child Health Hospital,Yichun 336000,Jiangxi,China;Obstetrics and Gynecology Department of Yichun People's Hospital,Yichun 336000,Jiangxi,China)

机构地区：[1]宜春市袁州区妇幼保健院保健科,江西宜春336000 [2]宜春市人民医院妇产科,江西宜春336000

出　　处：《医学信息》2024年第17期142-145,共4页Journal of Medical Information

摘　　要：目的研究宫腔镜与诊断性刮宫对异常子宫出血(AUB)的诊断价值。方法选取2020年12月-2022年12月宜春市人民医院收治的60例AUB患者,经随机数字表法分为宫腔镜组与刮诊组,各30例。宫腔镜组采用宫腔镜检查方案,刮诊组则进行诊断性刮宫检查方案,以最终病理诊断结果为金标准,比较两组诊断结果,以及不同年龄段患者诊断效能。结果宫腔镜组与刮诊组对正常子宫内膜、子宫内膜增生、子宫内膜息肉、子宫肌瘤检出率比较,差异有统计学意义(P<0.05),但两组对子宫内膜萎缩、子宫内膜癌检出率比较,差异无统计学意义(P>0.05)。宫腔镜组不同年龄段患者诊断准确率高于刮诊组,差异有统计学意义(P<0.05)。结论宫腔镜与诊断性刮宫在AUB检测中具有确切诊断价值,但前者诊断效能更为理想。Objective To study the diagnostic value of hysteroscopy and diagnostic curettage for abnormal uterine bleeding(AUB).Methods A total of 60 patients with AUB admitted to Yichun People's Hospital from December 2020 to December 2022 were selected and divided into hysteroscopy group and curettage group by random number table method,with 30 patients in each group.Hysteroscopy group was treated with hysteroscopy,while curettage group was treated with diagnostic curettage.The final pathological diagnosis results were used as the gold standard,the diagnostic results of the two groups and the diagnostic efficacy of patients of different ages were compared.Results There were significant differences in the detection rates of normal endometrium,endometrial hyperplasia,endometrial polyps and uterine fibroids between hysteroscopy group and curettage group(P<0.05).However,there was no significant difference in the detection rate of endometrial atrophy and endometrial cancer between the two groups(P>0.05).The diagnostic accuracy of hysteroscopy group was higher than that of curettage group in different age groups,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopy and diagnostic curettage have definite diagnostic value in AUB detection,but the diagnostic efficacy of the former is more ideal.

关 键 词：异常子宫出血 宫腔镜 诊断性刮宫 子宫内膜增生 子宫内膜息肉 

分 类 号：R737.33[医药卫生—肿瘤] R445.1[医药卫生—临床医学]