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我院于1993年4月—10月应用德国WOLF产电视宫腔镜,CO_2膨宫对患妇科疾患57例行宫腔镜检查。其中不规则阴道出血35例,不孕症12例,人流术后闭经3例、绝经后阴道出血4例,疑环嵌顿3例。宫腔镜检查正常宫腔8例,发现宫腔内病变49例,病变阳性查出率85.9％。宫腔镜下病变有宫腔粘连、子宫内膜炎、子宫肌瘤、子宫内膜息肉,宫内节育器、子宫内膜癌。子宫内膜组织送病检32例(56.1％),宫腔镜与病理诊断相符率62.5％(20/32)子宫肌瘤及子宫内膜癌术后诊断相符率100％。57例未发生并发症,认为宫腔镜检查宫内病变,具有在直视下直接观察病变表现,诊断准确率高。CO_2作膨宫介质视野清晰、简便、安全等优点,值得推广应用。
Our hospital in April 1993 -10 application of Germany WOLF TV hysteroscopy, CO 2 expansion of gynecological diseases 57 cases of hysteroscopy. Including irregular vaginal bleeding in 35 cases, infertility in 12 cases, 3 cases of amenorrhea after abortion, 4 cases of postmenopausal vaginal bleeding, suspected ring incarcerated in 3 cases. Hysteroscopy in 8 cases of normal uterine cavity, intrauterine lesions found in 49 cases, the positive detection rate of 85.9%. Hysteroscopic lesions with intrauterine adhesions, endometritis, uterine fibroids, endometrial polyps, IUD, endometrial cancer. Endometrial tissue sent to the pathological examination in 32 cases (56.1%), hysteroscopy and pathological diagnosis consistent rate of 62.5% (20/32) uterine fibroids and endometrial cancer postoperative diagnosis consistent rate of 100%. 57 cases did not occur complications, that hysteroscopy intrauterine lesions, with direct observation of lesions under direct vision, diagnostic accuracy. CO_2 for uterine expansion medium visual clear, simple, safe, etc., it is worth promoting.