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目的探讨宫腔镜诊治绝经后子宫出血病因的临床价值。方法对432例绝经后子宫出血行宫腔镜联合病理学检查的结果进行回顾性分析。结果绝经后子宫出血的主要病因是良性病变(54.40%)和功能性内膜病变(31.71%);宫腔镜诊断与病理诊断总符合率83.42%;绝经后子宫出血的各种病变的发病率与绝经年限无关,差异无统计学意义(P>0.05);绝经期内膜类型主要是萎缩型子宫内膜,增生期子宫内膜主要见于绝经≤5年者,差异具有统计学意义(P<0.05)。结论宫腔镜结合病理学检查是诊断绝经后子宫出血病因的最佳方法。
Objective To investigate the clinical value of hysteroscopy in the diagnosis and treatment of postmenopausal uterine bleeding. Methods 432 cases of postmenopausal uterine bleeding hysteroscopy combined with pathological examination results were retrospectively analyzed. Results The main causes of postmenopausal bleeding were benign lesions (54.40%) and functional endocardial lesions (31.71%). The total coincidence rate of hysteroscopy and pathological diagnosis was 83.42%. The incidence of various pathological changes of postmenopausal uterine bleeding (P> 0.05). The type of endometrium in menopause was mainly atrophic endometrium, while the proliferative endometrium was mainly found in menopausal ≤5 years, the difference was statistically significant (P < 0.05). Conclusion Hysteroscopy combined with pathological examination is the best way to diagnose the cause of postmenopausal uterine bleeding.