Objective To evaluate the diagnostic value of hysteroscopy in postmenopausal uterine bleeding. Methods 62 patients with postmenopausal uterine bleeding were chosen, and they were given with vaginal B-ultrasound and cervical examination, and took a biopsy for pathological examination and inspection process. The inspection results and results of pathological examination of the two groups were compared, and the diagnosis rates were analyzed. Results Pathological examination results were set as the gold standard, hysteroscopy diagnosis was significantly higher than vaginal B ultrasound, especially in the non-occupying lesions in the endometrium, endometrial hyperplasia and endometrial cancer three pathological changes. The ysteroscopy diagnosis rate was significantly higher. The differences of inspection methods for the two groups were with obvious difference, there was statistically significance(P<0.05). Conclusion Hysteroscopy has the advantages of little damage and high diagnosis rate, and it is convenient to combine with pathological examination, and it is a more reliable method of diagnosis.% 目的探讨宫腔镜检查对绝经后子宫出血的诊断价值.方法选取绝经后子宫出血患者62例，给予阴道B超检查及宫颈检查，并在检查过程中取活检行病理检查.对两种检查结果与病理学检查结果进行对照，分析其诊断符合率.结果以病理学检查结果为金标准，宫腔镜检查诊断符合率明显高于阴道B超检查，特别是在子宫内膜非占位病变、子宫内膜增生以及子宫内膜癌三种病理改变方面，宫腔镜检查诊断符合率明显较高.上述比较两组检查方法差异明显，有统计学意义(P<0.05).结论宫腔镜检查具有损伤小、诊断率高等优点，而且方便与病理学检查相结合，是一种比较可靠的诊断方法.
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