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目的 :研究绝经后子宫出血病人子宫内膜的病理类型及各类病理类型的相关因素。方法 :回顾性分析妇科门诊 35 9例绝经后子宫出血病人的临床及子宫内膜病理资料。结果 :绝经后子宫出血的子宫内膜病理类型多样化 ,其中子宫内膜癌加上子宫内膜癌癌前期病变 (子宫内膜不典型增生过长及复杂型增生过长 )占 16 .82 % ;子宫内膜的病理类型与病人年龄、绝经年龄、绝经时间及怀孕次数有关。结论 :绝经后子宫出血病人应予重视 ,但子宫内膜恶性病变仅为少数 ;怀孕次数过多是绝经后出血的高危因素。
Objective : To study the pathological types and related factors of various pathological types of the endometrium of postmenopausal women with uterine bleeding. Methods : Retrospective analysis of clinical and endometrial pathological data of 39 outpatients with postmenopausal uterine bleeding. Results: The endometrial pathological types of postmenopausal uterine bleeding were diversified, with endometrial cancer plus precancerous lesions of endometrial carcinoma (endometrial dysplasia and complicated hyperplasia) accounted for 16.82%. The pathological type of the endometrium is related to the age of the patient, the age of menopause, the time of menopause, and the number of pregnancies. Conclusion: Patients with postmenopausal uterine bleeding should pay attention, but only a few endometrial malignant lesions; excessive number of pregnancies is a high risk factor for postmenopausal bleeding.