[1]林 芳,钟 思.宫腔镜与诊断性刮宫对异常子宫出血诊断的对比研究[J].医学信息,2024,37(17):142-145.[doi:10.3969/j.issn.1006-1959.2024.17.031]
 LIN Fang,ZHONG Si.Comparative Study of Hysteroscopy and Diagnostic Curettagein the Diagnosis of Abnormal Uterine Bleeding[J].Journal of Medical Information,2024,37(17):142-145.[doi:10.3969/j.issn.1006-1959.2024.17.031]
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宫腔镜与诊断性刮宫对异常子宫出血诊断的对比研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年17期
页码:
142-145
栏目:
诊疗技术
出版日期:
2024-09-01

文章信息/Info

Title:
Comparative Study of Hysteroscopy and Diagnostic Curettagein the Diagnosis of Abnormal Uterine Bleeding
文章编号:
1006-1959(2024)17-0142-04
作者:
林 芳1钟 思2
1.宜春市袁州区妇幼保健院保健科,江西 宜春 336000;2.宜春市人民医院妇产科,江西 宜春 336000
Author(s):
LIN Fang1ZHONG Si2
1.Health Care Department of Yichun Yuanzhou District Maternal and Child Health Hospital,Yichun 336000,Jiangxi,China;2.Obstetrics and Gynecology Department of Yichun People’s Hospital,Yichun 336000,Jiangxi,China
关键词:
异常子宫出血宫腔镜诊断性刮宫子宫内膜增生子宫内膜息肉
Keywords:
Abnormal uterine bleedingHysteroscopyDiagnostic curettageEndometrial hyperplasiaEndometrial polyps
分类号:
R737.33;R445.1
DOI:
10.3969/j.issn.1006-1959.2024.17.031
文献标志码:
A
摘要:
目的 研究宫腔镜与诊断性刮宫对异常子宫出血(AUB)的诊断价值。方法 选取2020年12月-2022年12月宜春市人民医院收治的60例AUB患者,经随机数字表法分为宫腔镜组与刮诊组,各30例。宫腔镜组采用宫腔镜检查方案,刮诊组则进行诊断性刮宫检查方案,以最终病理诊断结果为金标准,比较两组诊断结果,以及不同年龄段患者诊断效能。结果 宫腔镜组与刮诊组对正常子宫内膜、子宫内膜增生、子宫内膜息肉、子宫肌瘤检出率比较,差异有统计学意义(P<0.05),但两组对子宫内膜萎缩、子宫内膜癌检出率比较,差异无统计学意义(P>0.05)。宫腔镜组不同年龄段患者诊断准确率高于刮诊组,差异有统计学意义(P<0.05)。结论 宫腔镜与诊断性刮宫在AUB检测中具有确切诊断价值,但前者诊断效能更为理想。
Abstract:
Objective To study the diagnostic value of hysteroscopy and diagnostic curettage for abnormal uterine bleeding (AUB).Methods A total of 60 patients with AUB admitted to Yichun People’s Hospital from December 2020 to December 2022 were selected and divided into hysteroscopy group and curettage group by random number table method, with 30 patients in each group. Hysteroscopy group was treated with hysteroscopy, while curettage group was treated with diagnostic curettage. The final pathological diagnosis results were used as the gold standard, the diagnostic results of the two groups and the diagnostic efficacy of patients of different ages were compared.Results There were significant differences in the detection rates of normal endometrium, endometrial hyperplasia, endometrial polyps and uterine fibroids between hysteroscopy group and curettage group (P<0.05). However, there was no significant difference in the detection rate of endometrial atrophy and endometrial cancer between the two groups (P>0.05). The diagnostic accuracy of hysteroscopy group was higher than that of curettage group in different age groups, and the difference was statistically significant(P<0.05).Conclusion Hysteroscopy and diagnostic curettage have definite diagnostic value in AUB detection, but the diagnostic efficacy of the former is more ideal.

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更新日期/Last Update: 1900-01-01