绝经后子宫出血患者223例诊刮病理分析

目的:探讨妇女绝经后发生子宫出血的临床病理特点,分析出血原因与恶性肿瘤的关系。方法:对2009～2011年妇科门诊及住院妇女绝经后子宫出血的诊刮标本223例进行病理分析。结果:绝经后子宫出血的病理诊断分别为子宫的非器质性病变79例,占35.43%;子宫的良性病变121例,占54.26%;恶性肿瘤23例,占10.31%。结论:绝经后子宫出血由良性和非器质性疾病所致居首位,但恶性肿瘤占一定比例且发病率随绝经时间增长而增高。提示临床发现绝经后子宫出血病例应有足够的重视。

Pathological analysis on curettage samples of 223 patients with postmenopausal uterine bleeding

Objective:To explore the clinicopathological characteristics of female patients with postmenopausal uterine bleeding,and analyze the relationship between the causes of bleeding and malignant tumor.Methods:The curettage samples of 223 women with postmenopausal uterine bleeding from outpatient department and inpatient department of the hospital from 2009 to 2011 were analyzed pathologically.Results:The pathological diagnosis of curettage samples of 223 women with postmenopausal uterine bleeding: 79 women with uterine non-organic lesions(35.43%),uterine benign lesions(54.26%),and 23 women with uterine malignant tumors(10.31%).Conclusion:Uterine non-organic lesions and uterine benign lesions are the top causes of postmenopausal uterine bleeding,but malignant tumors account for a certain proportion and the proportion increases with the duration of menopause,which indicate that more attention should be paid to the cases with postmenopausal uterine bleeding.