213例绝经后子宫出血的宫腔镜检查与治疗  

Hysteroscophy of postmenopausal uterine bleeding

作　　者：艾星子.艾里 丁岩[1] 贾新朝[2] 王玉英[1] 

机构地区：[1]新疆医科大学第一附属医院妇科,新疆乌鲁木齐830054 [2]新和县人民医院妇产科,新疆新和县842100

出　　处：《新疆医科大学学报》2002年第4期402-403,共2页Journal of Xinjiang Medical University

摘　　要：目的:评价宫腔镜对绝经后子宫出血的诊断价值。方法 :对 2 13例绝经后子宫出血患者进行宫腔镜检查。 结果 :有阳性发现者为 171例 ,其中老年性子宫内膜炎 68例 ,子宫内膜息肉 3 8例 ,子宫粘膜下肌瘤 2 1例 ,子宫内膜癌 14例 (经定位活检证实 ) ,宫内节育器 (IU D) 8例 ,宫颈管炎 4例 ,宫颈管息肉 18例 ,诊断阳性率 80 .3 %。其中 3例子宫内膜息肉和 2例子宫粘膜下肌瘤行电视宫腔镜下电切术。结论 :宫腔镜检查对绝经后子宫出血诊断阳性率高 ,与定位活检相结合可大大地提高宫腔内疾病诊断的准确性。而且宫腔镜下电切术具有操作简单、病人痛苦少、并发症少。Objective: To evaluate the diagnosfic value of hysteroscopy to postmenopausal uterine bleeding. Methods: 213 patients with postmenopausal uterine bleeding were examined with hysteroscopy.Results: There were 171 patients had positive findings, among them 68 cases were senile changes, 38 cases endometrial polyp, 21 cases submucous myoma, 14 cases carcimoma of endometrium, 8 cases intrauterine device, 4 cases cervicitis, 18 cases cervical polyp. The positive rate of diagnosis was 80.3%; there were 3 patients with endometrial polyp and 2 paitients with submucous myoma undergone transcervical resection fo polyp(TCRP)or myoma(TCRM).Conclusion: Hysteroscopy is one of effective diagnosis methods for postmenopausal uterine bleeding. It may enhance the diagnostic accuracy about the cause of bleeding within the uterine cavity combined with local biopsy.

关 键 词：绝经后 子宫出血 宫腔镜检查 治疗 

分 类 号：R711.52[医药卫生—妇产科学]