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目的探讨宫腔镜在异常子宫血中的应用。方法分析本科自2005年12月至2008年12月收治的75例患者的临床资料。结果术后平均住院日数为2～6d,术后48h体温超过37.5℃者5例,所有病例术后均给予抗生素预防感染;术后随访6～13个月,所有患者恢复良好。结论B超是操作简便、无创的检查方法,但漏诊率较高,而宫腔镜对可疑病变直视下活检是诊断宫内病变的金标准。AUB患者,可先B超筛查,再行宫腔镜进一步明确诊断,以提高诊断率。
Objective To investigate the application of hysteroscopy in abnormal uterine bleeding. Methods The clinical data of 75 patients admitted to our department from December 2005 to December 2008 were analyzed. Results The average postoperative hospital stay was 2 ~ 6 days, and the temperature was over 37.5 ℃ in 48 hours after operation. All patients were given antibiotics to prevent infection after operation. The patients were followed up for 6 ~ 13 months and all patients recovered well. Conclusion B ultrasound is a simple, noninvasive method of diagnosis, but the rate of misdiagnosis is high. Hysteroscopy is the gold standard for diagnosing intrauterine lesions under direct vision under suspicious lesions. AUB patients, can be B-screening, further hysteroscopy to further confirm the diagnosis to improve the diagnostic rate.