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目的探讨绝经后子宫出血的相关因素和病理改变。方法对458例绝经后子宫出血患者通过诊刮或负压吸引方法进行子宫内膜病理学检查。结果病理无改变组(I组)239例(52.18%),良性病变组(II组)185例(40.39%),恶性病变组(III组)34例(7.42%)。其中79例有宫内节育器(17.25%),5例患乳腺癌经三苯氧胺治疗。结论I组主要为功能失调引起,II组主要为内膜增生过长及子宫内膜炎所致,III组大多为子宫内膜癌。
Objective To investigate the related factors and pathological changes of postmenopausal uterine bleeding. Methods 458 cases of postmenopausal uterine bleeding patients by endoscopic suction or curettage method of endometrial pathology. Results There were 239 cases (52.18%) in group I (no change), 185 cases (40.39%) in benign group (group II) and 34 cases (7.42%) in malignant group (group III). Among them, 79 cases had IUD (17.25%) and 5 cases had breast cancer treated with tamoxifen. Conclusions Group I is mainly caused by dysfunction. Group II is mainly caused by endometrial hyperplasia and endometritis, while group III is mostly endometrial cancer.