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绝经后子宫出血458例分析
引用本文:蒋洪波,吴剑云,龚惠,陆文怡. 绝经后子宫出血458例分析[J]. 中国实用医药, 2007, 2(2): 20-21
作者姓名:蒋洪波  吴剑云  龚惠  陆文怡
作者单位:上海同仁医院,上海,200050
摘    要:
目的探讨绝经后子宫出血的相关因素和病理改变。方法对458例绝经后子宫出血患者通过诊刮或负压吸引方法进行子宫内膜病理学检查。结果病理无改变组(I组)239例(52.18%),良性病变组(II组)185例(40.39%),恶性病变组(III组)34例(7.42%)。其中79例有宫内节育器(17.25%),5例患乳腺癌经三苯氧胺治疗。结论I组主要为功能失调引起,II组主要为内膜增生过长及子宫内膜炎所致,III组大多为子宫内膜癌。

关 键 词:绝经后出血  相关因素  病理改变
文章编号:1673-7555[2007]02-20-02

Analysis on 458 cases of Postmenopausal Bleeding
JIANG Hong-bo,WU Jian-yun,GONG Hui,LU Wen-yi. Analysis on 458 cases of Postmenopausal Bleeding[J]. China Practical Medical, 2007, 2(2): 20-21
Authors:JIANG Hong-bo  WU Jian-yun  GONG Hui  LU Wen-yi
Abstract:
Objective To investigate the related factors and pathologic changes in postmenopausal bleeding women..Methods The pathological examinations were made by diagnostic curettage or suction curettage in 458 postmenopausal bleeding cases.Results 239 cases(52.18%)had no pathologic changes,there were benign changes in 185 cases.(40.39%),and malignant changes in 34 cases(7.42%),including 79 cases with intrauterine device(IUD)(17.25%),5 cases treated with tamoxifen for breats cancer.Conclusion The chief factor is dysfunction in group I,in group II,the chief factors are hyperplasia and inflammatory of endometria and in group III,most cases are carcinomata of endomentria.
Keywords:Postmenopausal bleeding  Related factors  Pathologic changes
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