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目的:探讨宫腔镜检查应用于绝经后子宫出血中的临床价值。方法:对我院收治的180例绝经后子宫出血的患者行宫腔镜检查及病理检查。结果:萎缩性子宫内膜45例,子宫内膜息肉45例,子宫内膜增生症33例,子宫内膜炎15例,黏膜下子宫肌瘤17例,子宫内膜癌11例,子宫平滑肌肉瘤1例,未取出宫内节育器13例。结论:宫腔镜对绝经后子宫出血的诊治无可替代,病理符合率高,值得推广。
Objective: To investigate the clinical value of hysteroscopy in postmenopausal uterine bleeding. Methods: 180 cases of postmenopausal bleeding in our hospital admitted to hysteroscopy and pathological examination. Results: There were 45 cases of atrophic endometrium, 45 cases of endometrial polyps, 33 cases of endometrial hyperplasia, 15 cases of endometritis, 17 cases of submucous myoma, 11 cases of endometrial carcinoma, 1 case, did not remove the IUD in 13 cases. Conclusion: Hysteroscopic diagnosis and treatment of postmenopausal uterine bleeding is irreplaceable, the pathological coincidence rate is high, it is worth promoting.