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目的探讨宫腔镜对子宫内膜息肉的诊断及治疗价值。方法回顾性分析经病理确诊为子宫内膜息肉的宫腔镜手术112例的临床资料,所有病例术前均经阴道B超检查。结果 112例经病理确诊的内膜息肉患者中,宫腔镜诊断92例,诊断符合率82.14%,阴道B超诊断49例,诊断符合率43.75%,两者比较差异有统计学意义(P<0.05)。宫腔镜误诊率17.86%,且多误诊为子宫内膜增生症及子宫黏膜下肌瘤。结论宫腔镜诊断子宫内膜息肉的准确性高于阴道B超,并且能使子宫内膜息肉的诊断与相应的治疗同时进行,值得临床推广。
Objective To investigate the value of hysteroscopy in the diagnosis and treatment of endometrial polyps. Methods The clinical data of 112 cases of hysteroscopic surgery diagnosed as endometrial polyps by pathology were retrospectively analyzed. All the cases were examined by vaginal ultrasonography before operation. Results Of the 112 patients with pathologically diagnosed endometrial polyps, 92 cases were diagnosed by hysteroscopy, with a diagnostic coincidence rate of 82.14%. 49 cases were diagnosed by vaginal ultrasonography, the diagnostic coincidence rate was 43.75%, the difference was statistically significant (P < 0.05). Hysteroscopy misdiagnosis rate of 17.86%, and more misdiagnosed as endometrial hyperplasia and uterine fibroids. Conclusion The accuracy of hysteroscopy in diagnosis of endometrial polyps is higher than that of vaginal ultrasonography, and the diagnosis of endometrial polyps can be carried out simultaneously with the corresponding treatment, which is worthy of clinical promotion.