绝经后妇女子宫内膜病变的临床分析

目的探讨绝经后B超发现的子宫内膜病变患者的诊断和处理方法。方法对65例绝经后B超发现子宫内膜病变但无临床症状的妇女行宫腔镜检查,对其进行临床及病理分析,并与同期112例绝经后有出血等症状的子宫内膜病变妇女的检查结果进行对比。结果无症状组病理检查符合绝经后正常表现的32例（49.23%）;良性病变31例（47.69%）,其中子宫内膜息肉19例,占良性病变的61.29%;不典型增生2例（3.08%）;无恶性病变。有症状组绝经后正常表现者35例（31.25%）;良性病变49例（43.75%）,其中子宫内膜息肉15例（13.39%）;不典型增生11例（9.83%）;恶性病变17例（15.17%）。结论绝经后无症状子宫内膜病变患者病理以子宫内膜良性病变为主,子宫内膜息肉发病率高,有潜在恶性;阴道超声可作为绝经后子宫内膜病变的筛查手段;宫腔镜检查因其诊断的准确性优于经阴道超声检查（TVS）及诊断性刮宫,应为首选。

Clinical analysis on endometrial lesion of postmenopausal women

Objective To explore the clinical therapy of asymptomatic endometrial lesion in postmenopausal women by ultrasound scanning. Methods Sixty-five postmenopausal women with asymptomatic lesion were diagnosed by ultrasound scanning. Their clinical and pathologic data were compared with 112 women with symptomatic lesion of postmenopause. Results Thirty-two cases without symptoms of postmenopausal women accounted for 49.23%, while benign hyperplasia in 31 cases accounted for 47.69%. Ninteen cases were found with ...