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目的探讨宫腔镜诊治异常子宫出血的效果。方法回顾分析60例患者的临床资料。结果育龄期以及围绝经期患者40例患者中,子宫内膜息肉17例、子宫黏膜下肌瘤8例行宫腔镜电切术;17例子宫内膜息肉行刮宫以及钳夹治疗;子宫内膜癌1例、子宫内膜不典型增生1例、内膜复合性增生4例、子宫黏膜下肌瘤2例行开腹手术;4例内膜复合增生及2例子宫内膜单纯性增生给予内分泌治疗。结论宫腔镜检查是一种准确率较高的检查方法,具有创伤小,术后恢复快的优点。因此,对于超声图像异常或不能确定者,宫腔镜检查可明确病因,二者结合可大大提高确诊率,且安全有效。
Objective To investigate the effect of hysteroscopy in diagnosis and treatment of abnormal uterine bleeding. Methods The clinical data of 60 patients were retrospectively analyzed. Results Of the 40 cases of childbearing age and perimenopausal women, 17 cases of endometrial polyps and 8 cases of uterine submucous myoma underwent hysteroscopic resection. 17 cases of endometrial polyps underwent curettage and clamping treatment. The endometrium 1 case of cancer, 1 case of endometrial atypical hyperplasia, 4 cases of endometrial hyperplasia, 2 cases of uterine submucous myoma underwent open surgery, 4 cases of endometrial hyperplasia and 2 cases of endometrial hyperplasia treatment. Conclusion Hysteroscopy is a high accuracy of the inspection method, with less trauma, postoperative recovery advantages. Therefore, for abnormal or uncertain ultrasound images, hysteroscopy can clearly cause the combination of the two can greatly improve the diagnostic rate, and safe and effective.