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子宫不规则出血是妇女常见症状之一，为确诊常需通过各种手段寻找病因，宫腔镜能以目代指，对宫腔内病变一目了然。本文自１９８７年６月～１９９２年３月对２４２例子宫不规则出血者进行宫腔镜检查，发现异常者１７０例，阳性检出率为７０．２％。有１８８例于镜检前或后行诊刮术，异常者１０７例，占５６．９％，而镜检异常者１３４例，占７１．２％，７３例行Ｂ超检查，异常者１８例，占２８．６％，而镜下异常者４３例，占６８．３％，两者符合率仅为４１．３％。说明宫腔镜检查宫腔内病变明显优于单纯性诊刮术及Ｂ超。其中６９例于镜检后近期行剖腹子宫全切术，镜检与子宫病检符合者６１例符合率达８９．５％。
Irregular uterine bleeding is one of the common symptoms of women, often diagnosed by various means to find the cause, hysteroscopy can refer to the purpose of means of intrauterine lesions at a glance. In this paper, from June 1987 to March 1992 242 cases of uterine irregular hemorrhage were detected by hysteroscopy and found that 170 cases of abnormalities, the positive detection rate was 70.2%. There were 188 cases of curettage before or after microscopic examination, 107 cases were abnormal, accounting for 56.9%, while the abnormal microscopic examination of 134 cases, accounting for 71.2%, 73 cases of B-ultrasound, 18 cases of abnormalities , Accounting for 28.6%, 43 cases were abnormal, accounting for 68.3%, the coincidence rate was only 41.3%. Hysteroscopy showed intrauterine lesions were significantly better than simple curettage and B ultrasound. Among them, 69 cases were performed cesarean section hysterectomy immediately after microscopic examination, and the coincidence rate of 61 cases with microscopic examination and uterine disease examination was 89.5%.