XIE Fang. Clinical Analysis of Hysteroscopy in the Diagnosis and Treatment of Abnormal Uterine Bleeding. [J]. Health Medicine Research and Practice 10(1):58-59(2013)
XIE Fang. Clinical Analysis of Hysteroscopy in the Diagnosis and Treatment of Abnormal Uterine Bleeding. [J]. Health Medicine Research and Practice 10(1):58-59(2013)DOI:
Clinical Analysis of Hysteroscopy in the Diagnosis and Treatment of Abnormal Uterine Bleeding
摘要
目的探讨宫腔镜诊断与治疗异常子宫出血的临床特点
总结其临床价值。方法选取我院2007年10月-2009年10月68例异常子宫出血的患者
使用宫腔镜进行诊断与治疗的临床资料进行统计学分析。结果 68例异常子宫出血患者经宫腔镜检查
检出阳性病变55例
诊断阳性率80.9%
其中粘膜下子宫肌瘤与节育环嵌顿的检出率最高达100%
明显高于子宫内膜癌、子宫内膜息肉、子宫内膜不典型增生、子宫内膜单纯性增生、子宫内膜复合性增生
差异有统计学意义(p<0.05)。55例中37例行诊断性宫腔镜刮宫术
11例行宫腔镜电切术
7例行子宫切除术
随访1年均无复发。结论宫腔镜诊断异常子宫出血的阳性率高。治疗异常子宫出血
术中出血少
手术视野清晰
能保留生育能力
具有创伤小、术后恢复快、住院时间短、术后复发率低等优点
是治疗宫腔内良性病变引起的异常子宫出血的首选方法。
Abstract
Objective To probe into the clinical feature of hysteroscopy in the diagnosis and treatment of abnormal uterine bleeding and to summarize its clinical value.Method Clinical data of 68 cases of patients with abnormal uterine bleeding who had been diagnosed and treated with hysteroscopy in our hospital from october 2007 to october 2009 was statistically analyzed.Results Among the 68 cases of patients with abnormal uterine bleeding
hysteroscopy detected positive lesions in 55 cases with a positive rate of 80.9%.The detection rate of submucous hysteromyoma and incarceration of intrauterine device was the highest with a percentage of 100%
which was remarkably higher than that of endometrial cancer
endometrial polyp
atypical hyperplasia of endometrium
simple endometrial hyperplasia and complex endometrial hyperplasia
and the differences were statistically significant(p<0.05).For the 55 cases detected
37 cases undergone diagnostic hysteroscopy and curettage
11 cases hysteroscopic electrosurgery and 7 cases hysterectomy
and no case was recurred after one year follow-up.Conclusion Hysteroscopy has a high positive rate in diagnosing abnormal uterine bleeding and it has less bleeding and clear vision during operation and can conserve fertility used for treating abnormal uterine bleeding
which also has the advantages of minimal trauma
quick recovery
short hospitalization time and low recurrent rate
therefore it is preferred to treat abnormal uterine bleeding caused by intrauterine benign lesions.