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绝经后阴道出血62例,月经异常、更年期不规则子宫出血患者136例,经阴道超声检查,测量子宫大小及子宫内膜厚度,然后进行诊断性刮宫术或分段诊刮术,标本送病理检查。结果:绝经后内膜厚度<4mm14例中,12例属生理或炎症性改变(85.7%),2例子宫内膜增殖症。48例内膜厚度≥5mm中43例(89.6%)子宫内膜有病理改变,其中癌前期病变3例,子宫内膜癌12例(占31.3%)。月经异常、更年期不规则子宫出血136例中,115例(84.6%)子宫内膜有病理改变,其中内膜癌3例、粘膜下肌瘤、肌瘤肉瘤变2例。
Postmenopausal vaginal bleeding in 62 cases, abnormal menstruation, menopausal irregular uterine bleeding in 136 cases, transvaginal ultrasound examination, measurement of uterine size and endometrial thickness, and then diagnostic curettage or sub-curettage, the specimen sent to the pathological examination . Results: In the 14 cases of endometrial thickness less than 4mm, 12 cases had physiological or inflammatory changes (85.7%) and 2 cases of endometrial hyperplasia. In 48 cases of endometrial thickness≥5mm, 43 cases (89.6%) had endometrial pathological changes, including 3 cases of precancerous lesions and 12 cases of endometrial carcinoma (31.3%). In 136 cases with abnormal menstruation and irregular uterine bleeding, 115 cases (84.6%) had pathological changes of endometrium, including 3 cases of endometrial carcinoma, 2 cases of submucous myoma and 2 cases of fibroid sarcoma.