宫腔镜检查在绝经后无症状子宫内膜增厚中的临床价值  

Clinical value of hysteroscopy in asymptomatic endometrial thickening after menopause

作　　者：蓝斯莉 LAN Sili(Department of Obstetrics and Gynecology,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院妇产科,广西南宁530021

出　　处：《妇儿健康导刊》2024年第14期105-108,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析宫腔镜检查在绝经后无症状子宫内膜增厚中的临床价值。方法选取2018年5月至2023年11月广西壮族自治区江滨医院收治的123例经阴道超声提示子宫内膜增厚且无症状的绝经后女性作为研究对象,以病理检查为金标准,比较经阴道超声、宫腔镜检查对绝经后无症状子宫内膜增厚良恶性病变的诊断效能。结果病理检查结果显示,123例绝经后无症状子宫内膜增厚患者中子宫内膜良性病变115例,包括子宫内膜息肉75例,子宫内膜增生11例,子宫黏膜下肌瘤13例,萎缩性子宫内膜16例;恶性病变8例,包括子宫内膜不典型增生3例,子宫内膜癌5例。宫腔镜检查子宫内膜良性病变112例,子宫内膜恶性病变11例。经阴道超声检查子宫内膜良性病变105例,恶性病变18例。宫腔镜诊断子宫内膜良恶性病变的特异度、准确度均高于经阴道超声(P<0.05)。结论宫腔镜检查能够较好地反映绝经后无症状子宫内膜增厚患者的子宫内膜病变,具有较高的临床价值。Objective To analyze the clinical value of hysteroscopy in asymptomatic endometrial thickening after menopause.Methods A total of 123 postmenopausal women with asymptomatic endometrial thickening indicated by transvaginal ultrasound treated in Jiangbin Hospital of Guangxi Zhuang Autonomous Region from May 2018 to November 2023 were selected as the study objects,and pathological examination was used as the gold standard to compare the diagnostic efficacy between transvaginal ultrasound and hysteroscopy in benign and malignant lesions of asymptomatic endometrial thickening after menopause.Results Pathological examination results showed that 115 cases of benign endometrial lesions were found in 123 postmenopausal patients with asymptomatic endometrial thickening,including 75 cases of endometrial polyps,11 cases of endometrial hyperplasia,13 cases of uterine submucous myoma,and 16 cases of atrophic endometrial.There were 8 cases of malignant lesions,including 3 cases of endometrial dysplasia,and 5 cases of endometrial cancer.There were 112 benign endometrial lesions and 11 malignant endometrial lesions examined by hysteroscopy.There were 105 benign endometrial lesions and 18 malignant lesions by transvaginal ultrasonography.The specificity and accuracy of hysteroscopy in the diagnosis of benign and malignant endometrial lesions were higher than those of transvaginal ultrasound(P<0.05).Conclusion Hysteroscopy can reflect the endometrial lesions better in postmenopausal patients with asymptomatic endometrial thickening,and has high clinical value.

关 键 词：宫腔镜检查 绝经 无症状子宫内膜增厚 病理检查 

分 类 号：R711.74[医药卫生—妇产科学]