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为探讨国际妇科病理协会1987年制订的子宫内膜增生性病变新分类法的临床应用价值,对1989年9月~1995年2月我院收治的子宫内膜增生性病变424例中的复合性增生28例和非典型增生57例进行了分析。结果:57例非典型增生病变中,轻度17例、中度18例、重度22例。总刮宫率为63.5%(54/85)。≤40岁组中子宫内膜非典型增生18例,子宫切除15例;复合性增生8例,子宫切除3例;>40岁组中子宫内膜非典型增生39例,子宫切除30例;复合性增生20例,子宫切除12例。由此表明子宫内膜增生新分类法可避免子宫内膜增生性病变患者病理上的过分诊断及临床上的过分治疗;术前诊断性刮宫仍是诊断宫内膜病变的主要手段。
To explore the International Association of Gynecologic and Pathological Institute of 1987 developed a new classification of endometrial hyperplasia clinical value, on September 1989 ~ February 1995 admitted to our hospital in the endometrial hyperplastic lesions in 424 cases of complex 28 cases of hyperplasia and 57 cases of atypical hyperplasia were analyzed. Results: Of 57 cases of atypical hyperplasia, 17 were mild, 18 were moderate and 22 were severe. The total curettage rate was 63.5% (54/85). ≤ 40 years old group of endometrial atypical hyperplasia in 18 cases, 15 cases of hysterectomy; complex hyperplasia in 8 cases, 3 cases of hysterectomy;> 40 years group of endometrial atypical hyperplasia in 39 cases, hysterectomy in 30 cases; 20 cases of sexual hyperplasia, hysterectomy in 12 cases. This shows that the new classification of endometrial hyperplasia can prevent pathological hyperproliferative lesions in patients with over-diagnosis and clinical over-treatment; preoperative diagnostic curettage is still the main means of diagnosis of endometrial lesions.