213例绝经后子宫出血的宫腔镜检查与治疗

目的：评价宫腔镜对绝经后子宫出血的诊断价值。方法：对213例绝经后子宫出血患者进行宫腔镜检查。结果：有阳性发现者为171例，其中老年性子宫内膜炎68例，子宫内膜息肉38例，子宫粘膜下肌瘤21例，子宫内膜癌14例（经定位活检证实），宫内节育器（ICD）8例，宫颈管炎4例，宫颈管息肉18例，诊断阳性率80．3％。其中3例子宫内膜息肉和2例子宫粘膜下肌瘤行电视宫腔镜下电切术。结论：宫腔镜检查对绝经后子宫出血诊断阳性率高，与定位活检相结合可大大地提高宫腔内疾病诊断的准确性。而且宫腔镜下电切术具有操作简单、病人痛苦少、并发症少、术后恢复快的优点。

Hysteroscophy of postmenopausal uterine bleeding

Objective: To evaluate the diagnosfic value of hysteroscopy to postmenopausal uterine bleeding. Methods: 213 patients with postmenopausal uterine bleeding were examined with hysteroscopy.Results: There were 171 patients had positive findings, among them 68 cases were senile changes, 38 cases endometrial polyp, 21 cases submucous myoma, 14 cases carcimoma of endometrium, 8 cases intrauterine device, 4 cases cervicitis, 18 cases cervical polyp. The positive rate of diagnosis was 80.3%; there were 3 patients with endometrial polyp and 2 paitients with submucous myoma undergone transcervical resection fo polyp(TCRP)or myoma(TCRM).Conclusion: Hysteroscopy is one of effective diagnosis methods for postmenopausal uterine bleeding. It may enhance the diagnostic accuracy about the cause of bleeding within the uterine cavity combined with local biopsy.