宫腔镜联合B超诊断异常子宫出血124例临床分析

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.

Clinical Analysis of Hysteroscopy plusB Ultrasound in Diagnosis of 124 Cases of Abnormal Uterine Bleeding

Objective： To study hysteroscopy combined Type-B ultrasonic exceeds abnormal uterine bleeding in the diagnosis and treatment of clinical value. Methods：A total of 124 cases of abnormal uterine bleeding were retrospectively analyzed.All the patients were performed hysteroscopy plus Bultrasound detection. The materials removed or scraped off from theuterine cavity were sent for histologicalexamination. Results： 124 patients were diagnosed by pathological examination for endometrial polyps 84 cases （67.7%）, combined with cervical polyp 10 cases; Endometrial hyperplasia disease in 16 （12.9%）, including simple hyperplasia in 12 cases, complexity hyperplasia in 4; Endometriosis dysplasia 1 cases （0.8%）; Submucosal uterine fibroids in 12 cases （9.7%）; Sample endometrial adenocarcinoma 6 patients （4.8%）; Endometritis 3 cases （2.4%）; Embryos residues in 2 cases （1.6%）. Conclusion： Hysteroscopy plus Bultrasound is the best detection for diagnosis of abnormal uterine bleeding.