宫腔镜检查在诊治绝经后子宫出血中的应用体会

目的探讨宫腔镜检查在绝经后子宫出血病因诊断中的指征和意义。方法回顾性分析109例行宫腔镜检查的绝经后子宫出血患者,总结镜下所见、病理结果及其与内膜厚度、子宫内膜癌的相关性,以此评价这一检查方法的适应证和意义。结果子宫内膜病变的检出率与文献报道相符;2例子宫内膜厚度小于5mm病理为子宫内膜癌;在子宫内膜不典型增生3例和子宫内膜癌的8例中,有高危因素者各有2例和6例。结论宫腔镜检查是诊断绝经后子宫出血的重要手段;对合并有子宫内膜癌高危因素的患者,即使子宫内膜厚度正常也应积极进行宫腔镜检查。

Application of hysteroscopy in diagnosis of post menopause uterine bleeding

Objective To investigate the indication and significomce of hysteroscopy employed in the diagnosis of postmenopausal uterine bleeding. Methods One hundred and nine patients with postmenopausal uterine bleeding were analyzed retrospectively. The correlation of signs observed under-hysteroscopy,pathological results,the endometrial thickness and endometrial cancer was explored. The indication and clinical significance of hysteroscopy were evaluated. Results The rate of endometrial disease diagnosed was coincidence with the literatures. There were 2 cases endometrial cancer whose endometrial thickness were less than 5 mm. Two of 3 atypical endometrial hyperplasia and 6 of 8 endometrial cancer accompanied by high risk factors. Conclusions Hysteroscopy is an important method to diagnose postmenopausal uterus abnormal bleeding. To the patients combined with high risk factor of endometrial cancer,it should hysteroscopy though endometrium thickness is normal.