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目的探讨宫腔镜、B超检查在各种异常子宫出血中的诊断价值。方法应用宫腔镜检查异常子宫出血560例,术前均行B超检查,术中行定位取材或诊断性刮宫。结果B超检查诊断与病理诊断总符合率为56.42%。宫腔镜检查诊断与病理诊断总符合率86.78%,子宫内膜增生过长166例,符合率为65.06%,子宫内膜息肉152例,符合率98.68%,慢性子宫内膜炎96例,符合率89.58%,子宫内胚物残留74例,符合率100.0%,子宫粘膜下肌瘤60例,符合率为96.66%,子宫内膜癌12例,符合率83.33%。结论对各种异常子宫出血,宫腔镜检查尽管有一定误诊率,因镜下可以定位活检,可提高诊断率。
Objective To investigate the diagnostic value of hysteroscopy and B-ultrasound in various abnormal uterine bleeding. Methods Hysteroscopy used to detect abnormal uterine bleeding in 560 cases, preoperative B-ultrasound, intraoperative positioning or diagnostic curettage curettage. Results The total coincidence rate of B-ultrasound diagnosis and pathological diagnosis was 56.42%. Hysteroscopy diagnosis and pathological diagnosis of the total coincidence rate of 86.78%, 166 cases of endometrial hyperplasia, the coincidence rate was 65.06%, 152 cases of endometrial polyps, the coincidence rate of 98.68%, 96 cases of chronic endometritis, in line with Rate of 89.58%, 74 cases of endometrial residue, the coincidence rate of 100.0%, submucosal uterine fibroids in 60 cases, the coincidence rate was 96.66%, endometrial cancer in 12 cases, the coincidence rate of 83.33%. Conclusion For all kinds of abnormal uterine bleeding, hysteroscopy despite misdiagnosis, biopsy can be located under the microscope, can improve the diagnostic rate.