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为寻找绝经后持续阴道流血的病因和治疗方法,研究了110例40～90岁,持续流血达6月以上的病人,曾用过或未用过激素治疗,流血量不等但均无贫血(Hb≥100g/d1),半数病人曾做过子宫内膜活检或诊刮,30例采用过周期性激素治疗而未能控制出血。 所有病人均不用镇静剂,术前14～24小时宫颈放昆布条,同时口服强力霉素100mg,Bid×5天,在全麻下,切除子宫内膜息肉、肌瘤或/和切除子宫内膜。95例器质性病变中,45例切除肌瘤或息肉
In order to find out the etiology and treatment of persistent vaginal bleeding after menopause, 110 patients 40 ~ 90 years of age with continuous bleeding for more than 6 months were studied. Hormone therapy was used with or without hormones, Hb ≥ 100g / d1), half of patients had done endometrial biopsy or curettage, 30 cases of cyclophosphamide treatment failed to control bleeding. All patients were not sedated, 14 to 24 hours before surgery, the cervix put kunbu strip, while oral doxycycline 100mg, Bid × 5 days, under general anesthesia, removal of endometrial polyps, fibroids, and / or removal of the endometrium. In 95 cases of organic disease, 45 cases of myoma or polyps removed