摘要
目的:探讨绝经后无症状子宫内膜增厚的临床处理。方法:对256例绝经后无症状、经阴道超声检查子宫内膜厚度≥5 mm妇女行孕激素试验(PCT)、宫腔镜检查或治疗、诊断性刮宫及病理检查。结果:171例妇女PCT阳性,活性内膜167例(97.66%),其中单纯性增生9例,复杂性增生5例,不典型性增生3例,子宫内膜癌1例,4者占总数的6.64%;85例PCT阴性,活性内膜19例(22.35%),无1例子宫内膜增殖症或子宫内膜癌,两组比较差异有统计学意义(P<0.05)。结论:绝经后无症状子宫内膜增厚妇女应行PCT检查,PCT阴性者可免于行诊断性刮宫,但应密切随访。
Objective： To explore the clinical therapy of asymptomatic endometrial thickening in postmenopausal women. Methods： 256 cases of postmenopausal asymptomatic women whose thickness of endometrium≥5 mm diagnosed by transvaginal ultrasonography （TVS） were tested by progesterone challenge test （PCT） , hysteroscopy and Curettaged for pathological analysis. Results： 171 cases were found positive PCT, 167 cases （97.66%） had active endometrium （97.66%）, including 9 cases of simple hyperplasia, 5 cases of complex hyperplasia, 3 cases were found atypical hyperplasia, 1 case was found endometrial carcinoma, the above four factors occupied 6. 64% of all cases; 85 cases were found negative PCT, 19 cases （22. 35% ） had active endometrium （P 〈0.05） . Conclusion： Asymptomatic endometrial thickening of postmenopausal women should be tested by progesterone challenge test. Women whose PCT results are positive shouldnt be curettaged but should be followed up closely.
出处
《中国妇幼保健》
CAS
北大核心
2009年第11期1481-1483,共3页
Maternal and Child Health Care of China
