【摘要】 目的　探讨宫腔镜检查术在各种异常子宫出血中的诊断价值。方法　应用宫腔镜检查异常子宫出血患者 314例 ,术中行定位取材或诊断性刮宫。结果　宫腔镜诊断子宫内膜息肉的敏感性为 96 15 % ,子宫粘膜下肌瘤为 85 71% ,子宫内膜增殖症为 6 0 94% ,子宫内膜癌 6 0 %。结论　宫腔镜检查异常子宫出血 ,可提高对子宫内膜息肉及粘膜下子宫肌瘤的诊断率。尽管对子宫内膜增殖症及子宫内膜癌的敏感性与单纯诊刮相似 ,但可观察到更详细的形态学变化。更多还原

【Abstract】 Objective To evaluate hysteroscopy in the diagnosis of various abnormal uterine bleedings(AUB).Methods 314 cases with AUB were examined by panoramic hysteroscopy with curattage or endometrial biopsy done at the same time.Results The sensitivity in detecting submucous myoma,endometrial polyp,hyperplasia and carcinoma were 85 71%,96 15%,60 94% and 60% respectively.Conclusion Hysteroscopy for AUB may enhance efficacy in identifying submucous myoma and endometrial polyp.Although it is similar to D&C in diagnosing endometrial hyperplasia and carcinoma,it showed more details of morphologic changes更多还原