宫腔镜检查绝经后子宫出血的临床价值

目的:探讨宫腔镜检查绝经后子宫出血的临床价值。方法:对2002年7月～2006年9月的56例绝经后子宫出血患者的宫腔镜检查结果进行回顾性分析。结果:56例绝经后子宫出血病人出血原因经过病理切片确诊,原因分别为:子宫内膜萎缩出血及子宫内膜炎共29例(29/56,51.79%),子宫内膜增殖症4例(4/56,7.14%),子宫内膜息肉11例(11/56,19.64%),子宫内膜癌6例(6/56,10.71%),黏膜下子宫肌瘤3例(3/56,5.36%)。结论:宫腔镜直接观察子宫腔病变,优于单纯诊断性刮宫和B超等影像学诊断,是目前妇科诊治宫内病变不可缺少和替代的检查方法。

The clinical value of hysteroscopy for postmenopausal bleeding

Objective:To evaluate hysteroscopy in the clinical diagnosis of postmenopausal bleeding.Methods:Retrospective analyzis was conducted in 56 patients of postmenopausal bleeding with hysteroscopy findings on from July 2004 to September 2006.Results:The reasons of postmenopausal uterine bleeding hemorrhage of the 56 cases after biopsy confirmed were:shrink endometrial bleeding and endometritis total of 29 cases(29/56,51.79%),endometrial hyperplasia in 4 cases(4/56,7.14%),endometrial polyps 11cases(11/56,19.64%),endometrial carcinoma in 6 cases(6/56,10.71%),submucosal uterine myoma 3 cases(3/56,5.36%).Conclusion:Hysteroscopic uterine cavity lesions,as a direct observation of the technology,superior diagnostic curettage and the B high grade phantom study diagnosis,which is the diagnosis and treatment of gynecological diseases indispensable and irreplaceable intrauterine methods.