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目的:探讨宫腔镜在绝经后子宫出血中的病因及诊治价值。方法:对194例绝经后子宫出血的患者行宫腔镜检查,其中30例行病灶摘除或电切术,切下组织全部送病理检查(病检)。结果:绝经后子宫出血的病因依次为;子宫内膜炎46例(23.71%),子宫内膜息肉38例(19.59%),子宫内膜单纯增生36例(18.56%),萎缩性子宫内膜26例(13.40%),子宫黏膜下肌瘤20例(10.31%),子宫内膜不典型增生16例(8.25%),宫内节育器(IUD)嵌顿6例(3.09%),子宫内膜癌6例(3.09%)。宫腔镜治疗宫腔良性病变所致子宫出血无一例复发。结论;绝经后子宫出血多为良性病变,宫腔镜诊断绝经后子宫出血准确可靠,部分患者同时行病灶摘除或电切术,减少开腹手术的创伤。
Objective: To explore the etiology and diagnosis and treatment of hysteroscopy in postmenopausal uterine bleeding. Methods: Hysteroscopy was performed on 194 cases of postmenopausal uterine hemorrhage. Thirty cases underwent excision or resection of the lesion, and all the tissues were excised for pathological examination (pathological examination). Results: The causes of postmenopausal uterine bleeding were as follows: 46 cases of endometritis (23.71%), 38 cases of endometrial polyps (19.59%), 36 cases of endometrial hyperplasia (18.56%), atrophic endometrium 26 cases (13.40%), 20 cases (10.31%) of uterine submucous myoma, 16 cases (8.25%) of endometrial dysplasia, 6 cases (3.09%) of intrauterine device (IUD) 6 cases of cancer (3.09%). Hysteroscopic treatment of uterine bleeding caused by benign lesions without a recurrence. Conclusions; Most postmenopausal uterine bleeding is benign, hysteroscopy diagnosis of postmenopausal uterine bleeding is accurate and reliable, some patients at the same time the lesion removal or resection, reduce the trauma of open surgery.