摘要
目的前瞻性研究门诊绝经后子宫出血的原因。方法对绝经后子宫出血患者行宫腔镜检查，对可疑病灶行活检术和（或）诊刮术，以病理结果作为病因诊断的的依据。结果７０例绝经后子宫出血患者的出血原因为：子宫内膜萎缩出血及子宫内膜炎共３２例（４５．７％）；子宫内膜增殖症１４例（２０％）；子宫内膜癌８例（１１．４％）；子宫内膜息肉８例（１１．４％）；其他原因８例（１１．４％）。结论子宫内膜萎缩出血及子宫内膜炎是绝经后子宫出血的主要原因，宫腔镜检查是绝经后子宫出血的可靠诊断方法。
Objective To investigate the causes of postmenopausal uterine bleeding. Methods The patients were examined by means of hysteroscope and when there were doubtful foci,biopsy and/or diagnostic curretage were performed.Final diagnosis was established according to histological examination. Results The causes of postmenopausal uterine bleeding were atrophic endometrium and endometritis(32 cases,45 7%),endometrial hyperplasia(14 cases,20%),endometrial carcinoma(8 cases,11 4%),endometrial polyp(8 cases,11 4%)and other causes(8 casses,11 4%). Conclusions In patients with postmenopausal uterine bleeding,atrophic endometrium and endometritis are the main causes and hysteroscopy is a reliable diagnostic method.
出处
《实用老年医学》
CAS
1997年第5期217-218,共2页
Practical Geriatrics
