[摘要] 目的 探究宫腔镜诊治急性子宫出血的临床效果。 方法 选择2011年1月~2013年6月本院急诊科收治的急性子宫出血患者82例，随机将其分为观察组和对照组，每组各41例。观察组经宫腔镜进行诊治，对照组采取B超检查+刮宫术治疗的模式。通过组织病理学诊断对两种方法的诊断率和治疗效果进行评价，并进行统计学分析。 结果 与组织病理学诊断比较，对照组的诊断率为58.5%，观察组的诊断率高达92.7%，两组比较差异有统计学意义（P<0.05）；观察组的总有效率为100.0%，对照组为85.4%，两组比较差异有统计学意义（P<0.05）。 结论 与B超检查比较，宫腔镜检查具有更准确、直观、安全的优势，其对病变部位的治疗也有显著效果，应在急诊中首选宫腔镜法对急性子宫出血进行诊治。

[关键词] 宫腔镜；B超；急性子宫出血

[中图分类号] R711.74[文献标识码] A[文章编号] 1674-4721（2014）05（b）-0059-03

Clinical effect of diagnosing and treating acute uterine bleeding using hysteroscopy in emergency

LI Hong

Department of Obstetrics and Gynecology,People′s Hospital of Guixi City in Jiangxi Province, Guixi 335400,China

[Abstract] Objective To discuss the effect of diagnosing and treating acute uterine bleeding using hysteroscopy. Methods 82 patients with acute bleeding treated in the department of emergency of our hospital from January 2011 to June 2013 were selected and divided into the observation group (n=41) and the control group (n=41).The observation group was given the hysteroscopy for diagnosis and treatment,and the control group was given B ultrasound examination + curettage treatment mode. The diagnostic rate and clinical effect of the two groups were evaluated through the histopathological diagnosis,and the results were statistically analyzed. Results Compared with the histopathological diagnosis,the diagnostic rate of the control group was 58.5%,while the diagnostic rate of hysteroscopy was 92.7%,and there was a statistical difference of the two groups (P<0.05);the total effective rate of the observation group was 100.0%,while the control group was 85.4%,and there was a statistical difference of the two groups (P<0.05). Conclusion Compared with the B ultrasound,the hysteroscopy examination has more accurate, intuitive, safe advantage,and has significant effect in the treatment of lesions,the hysteroscopy method should be the preferred method for the diagnosis and treatment of acute bleeding.

[Key words] Hysteroscopy;B ultrasound;Acute uterine bleeding

急性子宫出血是一种妇科常见病、多发病，主要是由子宫内膜病变引起的。传统的刮宫术诊治方法，漏诊率高、治疗效果差，同时对患者的身体损伤较大，而宫腔镜技术可以快速准确地检查出宫腔内出血情况，同时可以进行定位活检，还可以通过电切进行止血[1]，对于病变部位的治疗比较彻底，已成为越来越受欢迎的诊疗方式。本文以进行宫腔镜诊治的急性子宫出血患者为研究对象进行研究，旨在为今后的急诊诊治提供参考。

1 资料与方法

1.1 一般资料

选择2011年1月~2013年6月本院急诊科收治的急性子宫出血患者82例，年龄23~51岁，平均（39.3±7.2）岁，主要表现为阴道不规则性出血、血性白带等，所有患者均无严重的心脑血管和肝肾疾病，无近期使用激素治疗，排除阴道或者宫颈引起的出血。……