绝经后子宫内膜出血的临床病理分析  

Clinicopathological analysis of postmenopausal endometrial bleeding

作　　者：王薇[1] 杨桂芳[2] 

机构地区：[1]武汉大学医学院中南医院 武钢总医院430080 [2]武汉大学中南医院病理科,430080

出　　处：《中外女性健康》2013年第02X期18-19,共2页Health

摘　　要：目的：研究绝经后子宫出血的病因，诊刮子宫内膜的病检及意义。方法：我院85例绝经后子宫出血的患者行诊刮术后子宫内膜组织送病检，标本以中性甲醛液固定，常规行石蜡包埋，HE染色后光镜下划分病理类型，作出结果统计。结采恶性肿瘤8例，腺癌为主；良性病变42例，单纯性增生及子宫内膜炎为主；非器质性病变35例，萎缩性子宫内膜占多数。结论：患者一旦出现绝经后子宫出血，需及时诊刮作病理检查，特别是老年妇女并绝经时间长者，在常规妇检后，须对可疑者行分段刮宫取子宫内膜作病理诊断。objective： to study the cause of postmenopausal uterine bleeding, clinical shave of endometrial disease and the significance. Methods： our hospital 85 cases of postmenopausal uterine bleeding of patients with clinical postoperative endometrial tissue disease screening, specimens with neutral formalin fixed, conventional paraffin embedding, after HE staining under pathological type, make the resuk statistics. Results： 8 cases of malignant tumor, adenocarcinoma is given priority to; 42 cases of benign pathological changes, simple hyperplasia and endometritis primarily; Nonorganic lesions in 35 cases, atrophic endometrium accounted for the majority. Conclusion： once the patients with postmenopausal uterine bleeding, should be timely diagnosis for pathologic examination, elderly people, especially older women and postmenopausal time in conventional woman after checking, please kindly for suspicious line segment curettage endometrial pathologic diagnosis.

关 键 词：绝经后子宫出血 子宫内膜 病理诊断 恶性肿瘤 良性病变 非器质性病变 

分 类 号：R711.52[医药卫生—妇产科学]