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目的:探讨宫腔镜技术对绝经后子宫出血的临床应用价值。方法:对2009年8月～2011年8月在吉林市妇产医院就诊的125例绝经后子宫出血的患者给予宫腔镜检查,行取环术或活检、宫腔镜电切,并送病理检查。结果:未取出节育环12例,三苯氧胺或激素替代后患者5例;萎缩性子宫内膜43例,子宫内膜增生26例,子宫内膜息肉24例,黏膜下子宫肌瘤8例,子宫内膜癌6例,低度恶性子宫内膜间质肉瘤1例,病理符合率分别为90.7%、76.9%、83.3%、100.0%、100.0%、0.0%。结论:宫腔镜对绝经后子宫出血的诊治无可替代,病理符合率高。
Objective: To explore the clinical value of hysteroscopy in the treatment of postmenopausal uterine bleeding. Methods: From August 2009 to August 2011, 125 cases of postmenopausal uterine bleeding in Jilin Maternity Hospital were treated by hysteroscopy. The patients underwent hysteroscopy or biopsy, hysteroscopic resection and pathology an examination. Results: 12 cases of IUD were not removed, 5 cases of tamoxifen or hormone replacement; 43 cases of atrophic endometrium, 26 cases of endometrial hyperplasia, 24 cases of endometrial polyps, 8 cases of submucosal uterine fibroids, 6 cases of membranous carcinoma and 1 case of low grade endometrial stromal sarcoma.The pathological coincidence rates were 90.7%, 76.9%, 83.3%, 100.0%, 100.0% and 0.0% respectively. Conclusion: Hysteroscopic diagnosis and treatment of postmenopausal uterine bleeding is irreplaceable, the pathological coincidence rate is high.