宫腔镜下诊刮技术在异常子宫出血患者诊疗中价值.docVIP

宫腔镜下诊刮技术在异常子宫出血患者诊疗中价值 　　[摘要] 目的 分析宫腔镜下诊刮技术在异常子宫出血患者诊疗中的价值。方法 方便筛选2013年1月―2017年10月该院接收的107例异常子宫出血患者，以不同诊断方法为依据分组：研究组（54例施以宫腔镜下诊刮技术诊断），参照组（53例施以诊刮技术诊断），同时观察、对照2组诊疗效果。结果 研究组54例：28例确诊子宫内膜息肉，7例确诊子宫粘膜下肌瘤，14例确诊慢性子宫内膜炎；参照组53例：22例确诊子宫内膜息肉，6例确诊子宫粘膜下肌瘤，11例确诊慢性子宫内膜炎；经病理证实，研究组漏诊2例均确诊患慢性子宫内膜炎症，对其展开治疗后症状完全消失。结论 临床对异常子宫出血患者展开专业诊断时，选宫腔镜技术联合诊刮技术展开诊断，诊疗技术确切，临床诊断价值较高，建议推荐。 　　[关键词] 宫腔镜；诊刮技术；异常子宫出血 　　[中图分类号] R711 [文献标识码] A [文章编号] 1674-0742（2018）02（b）-0067-03 　　[Abstract] Objective This paper tries to analyze the value of hysteroscopic curettage in diagnosis and treatment of patients with abnormal uterine bleeding. Methods A total of 107 patients with abnormal uterine bleeding were convenient selected from January 2013 to October 2017 in this hospital and divided into groups according to different diagnostic methods： study group （54 cases diagnosed by hysteroscopic curettage）， reference group（53 cases diagnosed by curettage diagnosis）， while observing and comparing two groups of treatment effect. Results The study group of 54 patients： 28 cases of endometrial polyps confirmed， 7 cases of submucosal fibroids confirmed uterine fibroids， 14 cases of chronic endometritis confirmed； reference group of 53 cases： 22 cases of endometrial polyps confirmed， 6 cases of uterine mucosa Fibroids， 11 cases of chronic endometritis diagnosed； confirmed by pathology， the study group of 2 cases were diagnosed with chronic endometrial inflammation were missed. The symptoms disappeared completely after treatment. Conclusion In clinical diagnosis of patients with abnormal uterine bleeding， hysteroscopy combined with curettage diagnosis， the diagnosis and treatment of technology is accurate. The clinical diagnosis is of high value， and it is recommended. 　　[Key words] Hysteroscopy； Curettage technique； Abnormal uterine bleeding 　　伴?l异常子宫出血的危险因素较多，器质性病变是最关键的一个危险因素，如妇科肿瘤或是涉及下丘脑、垂体、卵巢轴功能严重异常等[1]。临床症状表现为经期延长、月经无规律、失血较多致使贫血等。因此，临床选用一种合理、精准、科学的检查方法，对充分明显异常子宫出血发病病因、临床治疗工作的开展等方面具有积极作用[2]。对此，为了解宫腔镜下诊刮技术在异常子宫出血患者