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目的:研究绝经后子宫出血的原因和最佳诊断方法。方法:对1994年9月～1999年2月我院收治的435例绝经后子宫出血患者进行B超检查和宫腔镜检查加刮宫或组织活检。结果:单纯子宫病变占972%,单纯附件肿瘤或附件肿瘤与宫内病变并存占28%;子宫与附件的良性病变占906%,恶性肿瘤占94%;宫腔镜下诊断宫腔内良性非赘生性病变与病理的总符合率为100%,诊断赘生性病变与病理的总符合率为968%。结论:绝经后子宫子宫出血的原因以子宫的良性病变占绝大多数;随年龄增长,恶性肿瘤的发生率有上升趋势;宫腔镜检查对绝经后子宫出血的诊断具有很高的价值,宫腔镜联合B超检查是较完善的病因检查手段
Objective: To study the causes of postmenopausal uterine bleeding and the best diagnostic method. Methods: From September 1994 to February 1999, 435 cases of postmenopausal uterine bleeding in our hospital were examined by B-mode ultrasonography and hysteroscopy plus curettage or biopsy. Results: Simple uterine lesions accounted for 972%, simple annex tumor or accessory tumor coexisted with intrauterine lesions accounted for 28%; benign lesions of the uterus and annexes accounted for 906%, malignant tumors accounted for 94%; hysteroscopic diagnosis of intrauterine benign non- The total coincidence rate of neoplastic lesions and pathology was 100%. The total coincidence rate of diagnosis of neoplastic lesions and pathology was 968%. Conclusions: The causes of uterine bleeding in postmenopausal women are mostly benign lesions of the uterus. With the increase of age, the incidence of malignant tumors is on the rise. Hysteroscopy is of great value in the diagnosis of postmenopausal uterine bleeding. Endoscopy combined with B-ultrasound is a better means of etiological examination