CAJ | 학술논문

目的探讨女性异常子宫出血病因及宫腔镜的应用价值.方法对679例女性异常子宫出血患者经妇科检查后结合B超、病理诊断和官腔镜检查明确出血病因.结果宫腔镜检查联合B超及活检病理诊断宫内病变的阳性检出率为98.6%.其中子宫内膜异常增生、子宫内膜息肉是异常子宫出血的主要病因,占56.7%.其次为子宫肌瘤(包括宫颈肌瘤)、子宫内膜炎.发病年龄以育龄妇女为主.结论宫腔镜是检查女性异常子宫出血的重要方法之一,可了解宫腔病变与子宫出血的关系,能明显提高临床诊断准确率,并能明确各病种在不同年龄段的分布情况.
목적 탐토녀성이상자궁출혈병인급궁강경적응용개치.방법 대679례녀성이상자궁출혈환자경부과검사후결합B초、병리진단화관강경검사명학출혈병인.결과 궁강경검사연합B초급활검병리진단궁내병변적양성검출솔위98.6%.기중자궁내막이상증생、자궁내막식육시이상자궁출혈적주요병인,점56.7%.기차위자궁기류(포괄궁경기류)、자궁내막염.발병년령이육령부녀위주.결론 궁강경시검사녀성이상자궁출혈적중요방법 지일,가료해궁강병변여자궁출혈적관계,능명현제고림상진단준학솔,병능명학각병충재불동년령단적분포정황.
Objective To study the applicability of hysteroseopy for abnormal uterine bleeding of women and to analyze the etiology.Methods 679 cases of women with abnormal uterine bleeding were examined by hysteroscopy,whose situations were showed first under bimanual or trimanual examinations,then trams abdominal or traps vaginal B-ultrasonograpy.Results The postive rate of uterie abnormality was 98.6% detected by hysteroscopy and biopsy.Endometrial hyperplasia and endometrialpolyp were the main cause of abnormal uterine bleeding,which occupied 56.7%,then were myoma and endometritis.Women of child-bearing age were the largdy group that in volved.Conclusion Hysteorscopic examination was useful for abnormality uterine bleeding of women.We can underatand the relationship with abnormal uterine bleeding and intra-uterine disease,and the distribution of the different diseases in different age to enhance accurate diagnosis.