Chromo 宫腔镜在评估异常子宫出血女性子宫内膜病变中的作用。

Mohamed Mohamed, Mohamed El-Noury, Ibrahim Sayed, Abdel-Halim Abdel-Halim
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引用次数: 0

摘要

:背景:异常子宫出血(AUB)是指妇女通常报告的子宫出血在频率、规律性、长度或数量上有所不同,为确定异常子宫出血(AUB)的原因,可能需要进行异常宫腔镜检查、实验室检测、成像和其他诊断程序。本研究的目的是评估宫腔镜检查在诊断和治疗妇女异常子宫出血方面的价值。组成部分和程序:在一年的时间里,本哈大学医学系妇产科门诊部对 115 名有 AUB 问题的妇女进行了调查。在常规宫腔镜检查后,使用 5 毫升 1%亚甲蓝进行了色素宫腔镜检查。可以看到不同的染色模式。染色集中在一个区域的被称为阳性,而染色分布较为均匀的则被视为正常。将这些结果与(传统宫腔镜检查)已观察到的结果进行比较。对不同染色区域进行取样活检。研究了组织病理学与宫腔镜和彩超结果之间的相关性。结果表明,宫腔镜检查诊断子宫内膜疾病的成功率很高。敏感性(92.54%)、特异性(83.33%)、PPV(88.57%)和 NPV(-92.54%)的百分比如下:(88.89% )。除了 16 例萎缩性子宫内膜炎、28 例单纯性子宫内膜增生、4 例不典型子宫内膜增生和 1 例新的子宫内膜癌外,色谱宫腔镜检查法还发现了 50 例新的子宫内膜组织病理学。因此,色谱宫腔镜检查提高了传统宫腔镜检查对 AUB 的诊断准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Role of Chromo Hysteroscopy in Evaluation of Endometrial Pathology in Female with Abnormal Uterine Bleeding.
: Background: Abnormal hysteroscopy, laboratory testing, imaging, and other diagnostic procedures may all be necessary to determine the cause of abnormal uterine bleeding (AUB), which is defined as bleeding from the uterus that varies in frequency, regularity, length, or quantity as typically reported by the woman. The purpose of this study is to evaluate the value of chromo hysteroscopy in diagnosing and treating abnormal uterine bleeding in women. The Components and Procedures: Over the course of a year, 115 women with AUB problems were surveyed at the outpatient clinic of the Department of gynaecology and obstetrics at Benha University's department of medicine. Chromo hysteroscopy, performed with 5 ml of 1% methylene blue, was performed after conventional hysteroscopy. Distinct staining patterns seen. Staining that was concentrated in one area was termed positive, while staining that was more evenly distributed was regarded normal. These results were compared to those that had already been observed (on conventional hysteroscopy). Differentially stained regions were sampled for biopsies. The correlation between histopathology and hysteroscopic and chromo-hysteroscopic results was investigated. It was determined that chromo hysteroscopy had a high rate of success in diagnosing endometrial illness. The percentages for sensitivity (92.54%), specificity (83.33%), PPV (88.57%), and NPV (-92.54%) are as follows: (88.89 percent ). In addition to the 16 instances of atrophic endometritis, 28 cases of simple endometrial hyperplasia, 4 cases of atypical endometrial hyperplasia, and a new single case of endometrial cancer, the chromo hysteroscopy method resulted to the detection of 50 additional novel endometrial histopathologies. The diagnosis accuracy of traditional hysteroscopy for AUB is boosted by chromo hysteroscopy, as a result.
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