Crescini C, Artuso A, Repetti F, Reale D, Pezzica E
Divisione di Ostetricia e Ginecologia, Ospedale Provinciale di Treviglio, Bergamo.
Minerva Ginecol. 1992 May;44(5):233-5.
Thirty-four patients, with a history of persistent abnormal uterine bleeding and dilatation and curettage or suction curettage performed within the previous year, were evaluated by office hysteroscopy and biopsy. For 16 patients (47%) the hysteroscopic diagnosis was in agreement with the curettage. Hysteroscopy revealed more information in 18 patients (53%): 8 had polyps, 6 had submucous or pedunculated myoma, 2 had endometrial neoplasia, 1 had myoma and polyp, 2 had endometrial neoplasia and 1 had synechia. Moreover in 3 patients with diagnosis of suspected myoma by curettage, hysteroscopy revealed a normal cavity. The high incidence of missed diagnosis of pathologic conditions by "blind" curettage supports the opinion that diagnostic hysteroscopy is the method of choice in the evaluation of abnormal uterine bleeding.
对34例有持续性异常子宫出血病史且在前一年进行过刮宫术或吸刮术的患者进行了门诊宫腔镜检查及活检。16例患者（47%）的宫腔镜诊断与刮宫结果一致。宫腔镜检查为另外18例患者（53%）提供了更多信息：8例有息肉，6例有黏膜下或带蒂肌瘤，2例有子宫内膜肿瘤，1例有肌瘤和息肉，2例有子宫内膜肿瘤，1例有粘连。此外，在3例刮宫诊断为疑似肌瘤的患者中，宫腔镜检查显示宫腔正常。“盲目”刮宫漏诊病理情况的高发生率支持了这样一种观点，即诊断性宫腔镜检查是评估异常子宫出血的首选方法。
