【摘要】 目的回顾性分析宫腔镜检查资料,探讨宫腔内疾病发生情况。方法选择2002年10月至2006年3月间中国医科大学附属盛京医院妇产科2401例患者,年龄18～83岁,因子宫异常出血、不孕症、宫内异常等行宫腔镜检查,对其资料进行回顾性分析。结果宫腔未见异常397例,包括宫腔镜术后复查患者19例,各种疾病共2004例,阳性检出率是83.5%。其中,宫腔镜下怀疑子宫内膜癌者77例,术后病理确诊为子宫内膜癌者56例,确诊为子宫内膜不典型增生者12例。术后2401例均无严重并发症。结论通过分析2401例宫腔镜检查结果,可以大体了解宫腔内疾病在年龄和病种上的分布情况,进而指导临床诊断。更多还原

【Abstract】 Objective To study the incidence of intra-uterine disease by hysteroscope examination. Method The clinical data were analyzed retrospectively in 2 401 patients (aged 18 ～ 83 year) by hysteroscopy, because of abnormal uterine bleeding, infertility,abnormal uterine cavity from Octember 2002 to March 2006. Results At all of total,397 patients were normal cavitary uteri,including of re-x 19 patients. Of total 2 004 patients of defferent diseases were detected by hysteroscope,the positive rate of detection was 83.5 %. Of the total,there were 77 patients diagnosed as endometrial carcinoma by hysteroscope. Filty-six patients with endometrial carcinoma were confirmed and 12 patients were diagnosed as atypical hyperplasia of endometrium by pathohistology. All of 2 401 patients had not severe complications. Conclusion It is useful for understanding the distribution of the different intra-uterine diseases in different age and directing our clinical diagnosis.更多还原