宫腔镜诊治子宫内膜息肉的临床分析(1)
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[摘要] 目的：探讨宫腔镜诊治子宫内膜息肉的临床价值及效果。方法：回顾性分析本院宫腔镜检查并经病理证实为子宫内膜息肉的患者136例，比较B超、宫腔镜诊断与病理诊断的符合率，观察其治疗效果。结果：以病理诊断为金标准，136例患者中，B超诊断符合率为42.65%，宫腔镜诊断符合率为87.50%，两者比较，差异有统计学意义(P<0.05)。所有患者经治疗后，子宫无异常出血，贫血纠正，16例不孕患者中12例于治疗后两年内成功受孕。均未见严重并发症发生。结论：宫腔镜诊断子宫内膜息肉与病理诊断符合率高，治疗效果好，并发症发生率低，值得临床推广应用。
[关键词] 宫腔镜；子宫内膜息肉；子宫异常出血；临床分析
[中图分类号] R711 [文献标识码] A [文章编号] 1674-4721(2012)01(b)-178-02
Clinical analysis of diagnosis and treatment on the patients with endometrial polyp by hysteroscopy
LIU Chunying, ZHANG Ming, WANG Xiujuan
Department of Obstetrics and Gynecology, Daqing Oilfield General Hospital in Heilongjiang Province, Daqing 163000, China
[Abstract] Objective: To investigate the clinical value and effects of the diagnosis and treatment on the patients with endometrial polyp by hysteroscopy. Methods: one hundred and thirty-six cases of patients with endometrial polyp checked by hysteroscopy and confirmed by pathological diagnosis were retrospectively analyzed, and then the diagnostic accordance rate of b-ultrasound and hysteroscopy based on the pathological diagnosis were compared, and the efficacy were observed. Results: The pathological diagnosis of the 136 cases were taken as golden standard, the diagnostic accordance rate of b-ultrasound was 42.65%, the diagnostic accordance rate of hysteroscopy was 87.50%, it showed significant difference between them (P<0.05). After treatment, all the patients had no abnormal uterine bleeding, no anemia, 12 cases in the 16 cases of patients with infertility got conception successfully. There was no severe complications happened on the patients. Conclusion: The diagnostic accordance rate of the hysteroscopy is higher, and the efficacy is good, complication rate is low, and it is worthy of popularizing.
[Key words] Hysteroscopy; Endometrial polyp; Abnormal uterine bleeding; Clinical analysis
子宫内膜息肉是临床常见的妇科疾病，可导致子宫异常出血和不育症，35岁以上妇女多见[1]。阴道不规则出血、不孕为其主要临床表现，甚至可能出现恶变[2]。本病症状不典型，常导致被误诊为其他相似疾病，随着宫腔镜技术的发展及应用，其检出率有了明显的提高，且宫腔镜直视下进行子宫内膜息肉切除术治愈率高、创伤小，已成为目前治疗本病的首选术式[3]。我院近年来宫腔镜检查子宫异常出血者358例，其中76例诊断为子宫内膜息肉，现将其临床资料总结分析，报道如下：
1 资料与方法
1.1 一般资料
我院于2009年1月～2011年6月门诊以宫腔镜检查子宫异常出血者358例 ......
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