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本文总结了我院自1988年4月至1995年12月应用西德生产wolf宫腔镜检查异常子宫出血共103例,均为已婚妇女,年龄为25～66岁间,平均42.5岁。其中月经过多、不规则83例,绝经后出血20例。结果:月经过多伴子宫肌瘤33例、子宫内膜息肉30例,子宫内膜癌2例、子宫内膜肥厚14例,4例未见异常。绝经后出血20例中,子宫内膜萎缩8例、子宫肌瘤6例,内膜息肉5例,内膜肥厚1例。 本组结果说明宫腔镜检查由于直视下观察宫腔及内膜病变、对于宫腔占位病变仍可作出明确诊断,对于子宫内膜增生症在病理的辅助下亦可做出明确诊断,并且还可以在直视下对于小的子宫内膜息肉准确地彻底地刮宫。对于绝经后出血,宫腔镜检吏此分段诊刮更有优越性,通过全面观察宫腔镜可以弥补因诊刮导致内膜癌的漏诊,另外可以对于子宫内膜萎缩,避免不必要的刮宫术,因此宫腔镜检查是一种非常理想的妇科检查及治疗方法和手段。
This article summarizes our hospital from April 1988 to December 1995 West Germany production wolf hysteroscopy abnormal uterine bleeding were 103 cases, all married women, aged 25 to 66 years old, with an average of 42.5 years old. Of which menorrhagia, irregular in 83 cases, 20 cases of postmenopausal bleeding. Results: There were 33 cases with excessive menstruation with uterine fibroids, 30 cases with endometrial polyps, 2 cases with endometrial carcinoma and 14 cases with endometrial hypertrophy. There were no abnormalities in 4 cases. 20 cases of postmenopausal bleeding, atrophy of the uterus in 8 cases, 6 cases of uterine fibroids, endometrial polyps in 5 cases, 1 case of endometrial hypertrophy. The results of this group shows that hysteroscopy due to direct observation of the uterine cavity and endometrial lesions, lesions for the uterine cavity can still make a clear diagnosis of endometrial hyperplasia in the pathology can also make a clear diagnosis, And also under direct vision for small endometrial polyps accurately and thoroughly curettage. For postmenopausal bleeding, hysteroscopy check this sub-curettage more advantages, through a comprehensive observation of hysteroscopy can make up for missed diagnosis of endometrial cancer missed diagnosis, the other for endometrial atrophy, to avoid unnecessary Curettage, so hysteroscopy is a very good gynecological examination and treatment methods and means.