论文部分内容阅读
目的:观察宫腔镜诊断及治疗异常子宫出血的效果,探讨临床诊治价值。方法:回顾性分析318例异常子宫出血患者的临床资料,所有患者经病理检查符合诊断,使用宫腔镜检查诊断同时在宫腔镜下摘取小病灶或对大的病灶作宫腔镜电切术。结果:318例患者手术时间12～32 min,平均(18.5±7.6)min;术中出血15～40 ml,平均(12.0±8.5)ml;所有患者顺利完成手术,术后3～7天内阴道有血性分泌物,无需特殊处理即自行消失;术后常规服用抗生素,无严重并发症(子宫穿孔、水电解质紊乱、大出血等);宫腔镜检查结果与病理结果306例(96.2%)完全相符,宫腔镜检查12例出现误诊。结论:宫腔镜检查诊断异常子宫出血的病因结果与病理检查结果基本相符,而且宫腔镜检查的同时可进行直视下手术治疗;故一般采用B超初步评估异常子宫出血,对于B超检查图像异常者,宫腔镜检查手段可明确病因,可提高宫腔镜诊治异常子宫出血的成功率,宫腔镜技术具有临床应用价值。
Objective: To observe the effect of hysteroscopy in diagnosis and treatment of abnormal uterine bleeding and to explore the value of clinical diagnosis and treatment. Methods: A retrospective analysis of 318 cases of abnormal uterine bleeding in patients with clinical data, all patients diagnosed by pathological examination, the use of hysteroscopy diagnosis of hysteroscopic removal of small lesions or large lesions for hysteroscopic resection Surgery. Results: The operation time of 318 patients was 12 to 32 minutes (mean, 18.5 ± 7.6) min. The intraoperative blood loss was 15 to 40 ml (average, 12.0 ± 8.5) ml. All the patients completed the operation successfully and the vagina was within 3 to 7 days Bloody discharge, without special treatment that disappear on their own; regular postoperative antibiotics, no serious complications (uterine perforation, water and electrolyte disorders, bleeding, etc.); hysteroscopy and pathology results in 306 cases (96.2% Hysteroscopy 12 cases misdiagnosed. Conclusion: Hysteroscopy diagnosis of abnormal uterine bleeding results and pathological findings are basically consistent, and hysteroscopy can be under direct vision surgery; it is generally used B-ultrasound to assess abnormal uterine bleeding, for B-ultrasound Abnormal images, hysteroscopy means a clear etiology, hysteroscopy can improve the diagnosis and treatment of abnormal uterine bleeding success rate, hysteroscopy with clinical value.