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目的评估无出血症状的绝经后妇女超声子宫内膜增厚的意义。方法分析2014年1月至2016年6月因为阴道超声子宫内膜厚度≥4 mm而接受宫腔镜检查的无出血绝经后女性患者的临床资料。结果分别有450例无出血和478例有出血绝经后妇女纳入了该研究,最常见的宫内病变均是子宫内膜息肉,无出血患者中共诊断出13例(2.9%)子宫内膜恶性肿瘤和5例(1.1%)子宫内膜不典型增生。有出血患者中共诊断出68例(14.2%)子宫内膜癌和4例(0.8%)子宫内膜不典型增生。结论绝经后女性子宫内膜超过10 mm者子宫内膜恶性肿瘤的风险显著升高,应重视子宫内膜厚度在4~10 mm且合并糖尿病、高龄、未产者。
Objective To evaluate the significance of ultrasound endometrial thickening in postmenopausal women without bleeding. Methods Clinical data of non-bleeding post-menopausal women undergoing hysteroscopy for vaginal endometrial thickness ≥ 4 mm from January 2014 to June 2016 were analyzed. RESULTS: A total of 450 non-hemorrhagic and 478 hemorrhagic postmenopausal women were enrolled in this study. The most common intrauterine lesions were endometrial polyps, and 13 (2.9%) endometrial malignancies were diagnosed in patients without hemorrhage And 5 cases (1.1%) of atypical hyperplasia of endometrium. There were 68 cases (14.2%) of endometrial carcinoma and 4 cases (0.8%) of endometrial dysplasia diagnosed by hemorrhage. Conclusions The risk of endometrial malignant tumors in postmenopausal women with endometrium over 10 mm is significantly increased. The thickness of endometrium should be in the range of 4 to 10 mm with diabetes, advanced age and no birth.