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目的宫腔镜对绝经后子宫出血的诊疗价值。方法352例绝经后子宫出血患者均行宫腔镜检查,根据检查结果采取相应治疗措施。结果352例患者中,老年性子宫内膜炎154例,子宫内膜息肉41例,子宫黏膜下肌瘤27例,子宫内膜癌19例(经定位活检证实),宫内节育器26例,宫颈管炎3例,宫颈管息肉7例,诊断阳性率为78.7%。其中41例子宫内膜息肉和27例子宫黏膜下肌瘤行宫腔镜下电切术。结论宫腔镜检查对绝经后子宫出血诊断阳性率高,与定位活检相结合可大大地提高宫腔内疾病诊断的准确性。而且宫腔镜下电切术具有操作简单、患者痛苦少、并发症少、术后恢复快的优点。
Objective Hysteroscopy diagnosis and treatment of postmenopausal bleeding. Methods 352 cases of postmenopausal uterine bleeding patients underwent hysteroscopy, according to the test results to take the appropriate treatment. Results Of the 352 patients, 154 cases of senile endometritis, 41 cases of endometrial polyps, 27 cases of uterine submucous myoma, 19 cases of endometrial carcinoma (confirmed by biopsy), 26 cases of intrauterine device, Cervical inflammation in 3 cases, 7 cases of cervical polyp, the positive rate was 78.7%. 41 cases of endometrial polyps and 27 cases of uterine fibroids hysteroscopic resection. Conclusions Hysteroscopy has a high positive rate of diagnosing postmenopausal uterine bleeding, and the combination of localization and biopsy can greatly improve the diagnostic accuracy of intrauterine diseases. And hysteroscopic resection has the advantages of simple operation, less pain, fewer complications and quick recovery after operation.