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目的:探讨宫腔镜联合B超在诊治异常子宫出血的临床价值。方法:对124例异常子宫出血的病例进行回顾性分析,所有患者作B超及宫腔镜检查,宫腔内切除物或刮出物均送病理检查。结果:124例患者经病理检查确诊为子宫内膜息肉84例(67.7%),合并宫颈息肉10例;子宫内膜增生症16例(12.9%),其中单纯性增生12例,复杂性增生4例;子宫内膜不典型增生1例(0.8%);子宫粘膜下肌瘤12例(9.7%);子宫内膜样腺癌6例(4.8%);子宫内膜炎3例(2.4%);胚物残留2例(1.6%)。结论:宫腔镜联合B超检查是诊断异常子宫出血最好的方法。
Objective: To explore the clinical value of hysteroscopy combined with ultrasound in the diagnosis and treatment of abnormal uterine bleeding. Methods: A retrospective analysis was performed on 124 cases of abnormal uterine bleeding. All patients underwent B-mode ultrasonography and hysteroscopy. All intrauterine resections or scrapes were sent for pathological examination. Results: The pathological examination of 124 patients with endometrial polyps confirmed in 84 cases (67.7%), combined with cervical polyps in 10 cases; endometrial hyperplasia in 16 cases (12.9%), of which 12 cases of simple hyperplasia, hyperplasia of complex 4 (0.8%); 12 cases of submucous myoma (9.7%); 6 cases of endometrioid adenocarcinoma (4.8%); 3 cases of endometritis (2.4%), There were 2 cases of residual embryo (1.6%). Conclusion: Hysteroscopy combined with B-ultrasound is the best way to diagnose abnormal uterine bleeding.