子宫内膜病理活检对子宫异常出血的临床诊断作用研究  

Clinical diagnosis of endometrial biopsy for abnormal uterine bleeding

作　　者：卢琦林 Lu Qilin(Department of Pathology,The Fifth Hospital of Xiamen,Xiamen,Fujian,361101,China)

机构地区：[1]厦门市第五医院病理科,福建厦门361101

出　　处：《当代医学》2020年第13期107-109,共3页Contemporary Medicine

摘　　要：目的探讨子宫内膜活检病理诊断对子宫异常出血的临床诊断作用。方法回顾性分析本院2017年10月至2018年10月收治的50例子宫异常出血患者的临床资料,对所有患者实施子宫内膜活检病理诊断,分析子宫内膜的病理类型、病变与年龄之间的关系以及诊断准确率。结果经检查50例患者中功能性出血23例(46.00%),其中内膜过度增生发生率最高为32%(16/50);器质性出血17例(34.00%),其中发生率最高的疾病为宫内膜息肉,占比16.00%(8/50);子宫内膜癌主要发生于年龄>40岁的患者,且病变严重程度与年龄呈正相关。结论对子宫异常出血患者实施子宫内膜活检病理诊断效果较好,准确率较高,可有效明确疾病类型,值得临床推广。Objective To investigate clinical diagnosis of endometrial biopsy pathological diagnosis for abnormal uterine bleeding.Methods The clinical data of 50 patients with abnormal uterine bleeding were retrospectively analyzed.All patients were admitted from October 2017 to October 2018.Endometrial biopsy was performed on all patients.The endometrial pathological types,the relationship between lesions and age,and the accuracy of diagnosis were analyzed.Results Of the 50 patients,17(34.00%)had organic hemorrhage and the highest incidence of endometrial hyperplasia was 32%(16/50),23(46.00%)had functional hemorrhage,the most common disease was endometrial polyps,with an incidence of 16.00%(8/50).Endometrial cancer mainly occurred in patients over 40 years old,and the nature of the lesion was positively correlated with age.Conclusion The pathological diagnosis of endometrial biopsy in patients with abnormal uterine bleeding is better and the accuracy is higher.It can effectively identify the type of disease and worthy of clinical promotion.

关 键 词：子宫内膜活检病理诊断 子宫异常出血 诊断作用 

分 类 号：R711.52[医药卫生—妇产科学]