宫腔镜在绝经后阴道出血诊断中的价值  

Value of hysteroscope in diagnosis of postmenopausal vaginal bleeding

作　　者：李灿宇[1] 白桦[1] 张佳佳[1] 杨淑玲[1] 申爱荣[1] 

机构地区：[1]郑州大学第三附属医院妇产科,河南郑州450052

出　　处：《中国妇幼保健》2011年第31期4927-4929,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨宫腔镜在绝经后阴道出血患者诊断中的价值。方法:回顾分析经阴道超声、腹部超声联合宫腔镜检查的156例阴道出血患者临床资料并做病因诊断分析。结果:出血原因为良性疾病133例,子宫内膜增生症13例和恶性肿瘤10例。经阴道超声诊断子宫异常的敏感度、特异度分别为89.6%和93.9%。子宫内膜的厚度、绝经时间与恶性肿瘤的发生显著相关。结论:绝经后阴道出血的病因主要为良性疾病,若阴道超声检查提示内膜病变者应进一步行宫腔镜联合腹部超声检查。Objective：To explore the value of hysteroscope in diagnosis of patients with postmenopausal vaginal bleeding.Methods：Clinical data of 156 patients with postmenopausal vaginal bleeding who were examined by transvaginal ultrasound,transabdominal ultrasound combined with hysteroscopy were analyzed retrospectively,then etiologic diagnosis and analysis were performed.Results：The reasons of postmenopausal vaginal bleeding included benign diseases（133 patients）,endometrial hyperplasia（13 patients） and malignant tumors（10 patients）.The sensitivity and specificity of transvaginal ultrasound in diagnosis of endometrial abnormality were 89.6% and 93.9%,respectively.The thickness of endometrium and the time of menopause were significantly correlated with the occurrence of malignant tumors.Conclusion：The major reason of postmenopausal vaginal bleeding is benign diseases,the cases who are indicated with endometrial lesions by transvaginal ultrasound should receive further hysteroscopy combined with transabdominal ultrasound.

关 键 词：绝经后阴道出血 宫腔镜 诊断 

分 类 号：R711.5[医药卫生—妇产科学]