Hysteroscopy in the treatment of 60 patients with abnormal uterine bleeding

Abstract

Objective To investigate the clinical diagnosis and treatment value of hysteroscopy on patients with abnormal uterine bleeding.Method 60 patients with abnormal uterine bleeding were taken hypsteropic diagnosis and treatment compared with B ultrasonic and histologic diagnosis.The confirmed cases also taken hysteroscopy surgery.Results Endometrial polyps 23 cases (38.3％),endometrial hyperplasia disease 17 cases (28.3％),submucous myoma of uterus 9 cases (15.0％),uterine cavity adhesion in 7 patients (11.7％),submucosal uterine adenomyoma 2 cases (3.3％),chronic endometritis 1 case (1.7％) and endometrial carcinoma 1 case (1.7％) respectively.The concordance rate of B ultrasonic diagnosis and histologic diagnosis was 40.0％,while rate of hypsteropic diagnosis and histologic diagnosis was 86.7％,the difference was significant (x2 =0.865,P ＜ 0.001).In 60 patients,the cure rate of hysteroscopy surgery was 98.3％.Conclusion Hysteroscopy in gynecological abnormal uterine bleeding diagnosis is specific,while the treatment effect is remarkable,which can be used as a safe and effective method to diagnosis and treatment abnormal uterine bleeding. Key words: Hysteroscopy; Uterine Hemorrhage