摘要
目的探讨绝经后无症状子宫内膜增厚患者病理情况及临床处理原则。方法选取2008年1月至2010年11月在上海市长宁区妇幼保健院就诊的绝经后超声提示子宫内膜增厚而无症状者184例(无症状组)行宫腔镜检查,取组织进行病理检查;并与同期伴有阴道出血或阴道排液的绝经后子宫内膜增厚患者99例(出血组)进行比较。结果无症状组子宫内膜增厚患者经宫腔镜检查病理多数为子宫内膜息肉(119例,64.67%)或黏膜下小肌瘤(17例,14.67%),符合绝经后正常表现16例(7.61%),仅有9例(4.89%)为子宫内膜癌患者。出血组子宫内膜增厚患者子宫内膜息肉28例(28.28%),黏膜下小肌瘤4例(4.04%),符合绝经后正常表现18例(18.18%),子宫内膜癌37例(37.37%)。结论绝经后无症状子宫内膜增厚患者经宫腔镜检查病变阳性检出率高(>90%),以子宫内膜息肉为主。宫腔镜检查是探查无症状子宫内膜增厚患者的首选方法。
Objective To evaluate the exact pathology on postmenopausal women with abnormal endometrial thickening and to make strategy of treatment. Methods 184 asymptomatic postmenopausal women,undergoing hysteroscopy exami- nation,and 99 postmenopausal vaginal bleeding women with abnormal endometrial thickening in transvaginal ultrasound scanning were collected for clinical and pathologic analysis between January 2008 and November 2010 in Changning Area Maternal and Infant Health Hospital. Results Among 184 asymptomatic postmenopausal women with endometrial thick- ening, there were 119 women with cndometrial polyps, 17 women with submucosal fihroids, 16 women with normal histolog- ical findings,9 women with cancer. Among 99 postmenopansal bleeding women with endometrial thickening, there were 28 women with endometrial polyps ,4 women with submucosal fibroids, 18 women with normal histological findings ,37 women with cancer. Conclusion Asymptomatic postmenopausal patients with endometrial thickening detected by hysteroscopy lesions positive rate to 90% , mainly to endometrial polyps. Hysteroscopy is the preferred method to discovery of asympto- matie patients with endometrial thickening.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2013年第1期49-51,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
绝经
子宫内膜
病理学
宫腔镜
menopause
endometrium
pathology
hysteroscopy
