绝经后子宫出血患者宫腔镜检查治疗112例分析  

Analysis of 112 Cases with Postmenopausal bleeding Treated by Hysteroscope

作　　者：丁聪[1] 

机构地区：[1]山东省兖州市人民医院,272100

出　　处：《中国医药指南》2010年第19期187-188,共2页Guide of China Medicine

摘　　要：目的探讨宫腔镜在诊断治疗绝经期子宫出血中的作用。方法回顾性分析2005年12月至2009年12月兖州市人民医院门诊或入院检查和治疗的112例绝经期妇女异常子宫出血的病例。结果 112例患者中,子宫颈管或子宫内膜息肉、黏膜下小肌瘤共30例(27%),子宫内膜炎4例(12.50%),功能性子宫出血21例(19%),子宫内膜癌9例(8.0%),子宫内膜非典型增生2例(1.7%)。结论宫腔手术操作中未发现严重不良反应,手术时间短,患者易耐受,临床易推广;临床中查找异常子宫出血病因时宫腔镜可以作为主要检查手段,结合病理学分析可有效地明确诊断。是确诊绝经期子宫出血及治疗良性宫腔病变的理想方法,值得推广。Objective To research into the use of hysteroscope in diagnosis and treatment of postmenopausal bleeding. Method Retrospective analysis of 112 cases of postmenopausal women whose uterus are abnormal bleeding from December, 2005 to December, 2009 in Yanzhou people＇s hospital＇s clinic service in-patient department. Result There are 30 cases （27%） of cervical tube or endometrial tube and small submucosal fibroids, 4 cases （12.50%） of endometritis, 21 cases （19%） of functional uterine bleeding, 9 cases （8.0%） of carcinoma of endometrium, 2 cases （1.7%） of atypical endometrial hyperlasia. Conclusion There is no serious side effect in intrauterine surgery. The operation time is short, the patients is tolerable and easy to promotion clinically. The main check method is use hysteroscopy to search abnormal uterine bleeding disease and combined pathological analysis to clarify diagnosis. The hysteroscope is the ideal way to diagnose menopausal bleeding and the treatment of benign intrauterine lesions which should be promoted.

关 键 词：绝经期子宫出血 宫腔镜 

分 类 号：R711.59[医药卫生—妇产科学]