Hysteroscopy in Abnormal Uterine Bleeding

Nepal Journal of Obstetrics and Gynaecology Pub Date : 2020-11-15 DOI:10.3126/njog.v15i2.32913

B. Pradhan, Isha Pun, Sushma Lama

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引用次数: 1

Abstract

Aims: To evaluate the role of hysteroscopy in abnormal uterine bleeding in women of reproductive age group and to correlate the hysteroscopic findings with histopathology. Methods: The study was carried out in the Department of Obstetrics and Gynecology at Patan Academy of Health Sciences, Kathmandu. Thirty patients of age group 20-61years with abnormal uterine bleeding were included. Demonstrable pelvic pathology like cancer of cervix, vagina or endometrium and active pelvic inflammatory disease (PID) were excluded. All patients were assessed using hysteroscopy and findings were correlated with histopathology. Results: On hysteroscopy, endometrium was normal in 30%, hyperplastic in 30%, polyps found in 20% and atrophic in 10%. Endometrial polyp and submucous fibroid was seen in 6.7% cases and 3.3% cases each. On confirmation by histopathology the findings were: normal endometrium in 40% cases, hyperplastic in 40%, polyp in 16.7% and atrophic in 3.3%. Submucous fibroid and suspicious endometrium came to be endometrial hyperplasia on histopathology. Conclusions: Hysteroscopy has more than 90% diagnostic accuracy to diagnose endometrial morphology and diagnostic agreement of endometrial finding is 63.33%. Keywords: abnormal uterine bleeding, hysteroscopy, predictive value

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子宫异常出血的宫腔镜检查

目的:探讨宫腔镜在育龄妇女子宫异常出血中的作用，并探讨宫腔镜检查结果与组织病理学的关系。方法:本研究在加德满都帕坦卫生科学院妇产科进行。选取年龄20 ~ 61岁的子宫异常出血患者30例。排除明显的盆腔病变，如宫颈癌、阴道癌或子宫内膜癌和活动性盆腔炎(PID)。所有患者均行宫腔镜检查，检查结果与组织病理学相关。结果:宫腔镜检查子宫内膜正常者占30%，增生者占30%，息肉者占20%，萎缩者占10%。子宫内膜息肉和粘膜下肌瘤分别占6.7%和3.3%。经组织病理学证实，子宫内膜正常占40%，增生占40%，息肉占16.7%，萎缩占3.3%。粘膜下肌瘤及可疑子宫内膜在病理上为子宫内膜增生。结论:宫腔镜对子宫内膜形态的诊断准确率在90%以上，子宫内膜发现的诊断符合率为63.33%。关键词:子宫异常出血，宫腔镜，预测价值

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来源期刊

Nepal Journal of Obstetrics and Gynaecology

自引率

0.00%

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审稿时长

12 weeks