宫腔镜协助诊断绝经后阴道流血223例临床分析  

Diagnostic Value of Hysteroscopy on 223 Patients Suffered with Postmenopausal Bleeding

作　　者：潘颖琳[1] 

机构地区：[1]温州医学院研究生部,浙江温州325035

出　　处：《实用妇产科杂志》2008年第8期493-495,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨绝经后阴道流血的原因以及宫腔镜诊断的价值。方法:分析我院223例绝经后阴道流血病例的宫腔镜检查结果并与病理结果对照。结果:宫腔镜检查后经病理确诊引起绝经后阴道流血的原因中子宫内膜良性病变占83.4%,子宫恶性肿瘤占12.6%,宫内节育器占3.1%。绝经年限和恶性肿瘤有关。宫腔镜诊断与病理检查的符合率为87.0%。结论:宫腔镜协助下行活检或诊刮可明确绝经后阴道流血的原因,并可提高诊断准确率。Objective： To study the cause and the diagnostic value of the hysteroscopy for women with postmenopausal bleeding. Methods： Analyzing the hysterosclpy results of 223 patients with postmenopausal bleeding, comparing them with the pathologic result. Results：The causes of postmenopausal bleeding diagnosed by were mainly benign pathology of endometfium （83.4%）, next was malignancy （12,6%）, IUD account for 3,1%, The menopause year was associated with the malignant tumor. The diagnostic rate of hysteroscopy accorded with pathological examination was 87.0%. Conclusions：Curettage assisted by hysteroscopy-can definite the reason of postmenopausal bleeding and increase the positive results.

关 键 词：宫腔镜 绝经 阴道流血 

分 类 号：R711[医药卫生—妇产科学]