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目的:探讨绝经后子宫出血的原因并评价宫腔镜对绝经后子宫出血的诊断价值。方法:回顾性分析2010年6月～2012年6月198例绝经后异常子宫出血患者的宫腔镜结合病理组织学检查结果。结果:198例宫腔镜诊断与病理组织学检查的符合率为87.4%,其中良性病变和非器质性病变132例,恶性病变仅18例,良性病变中以子宫内膜息肉最多。结论:宫腔镜检查结合病理组织学检查可以发现绝经后子宫出血的原因,尽早确诊子宫内膜癌和癌前病变。
Objective: To investigate the causes of postmenopausal uterine bleeding and to evaluate the diagnostic value of hysteroscopy in postmenopausal uterine bleeding. Methods: The results of hysteroscopy combined with histopathological examination of 198 cases of postmenopausal women with abnormal uterine bleeding were retrospectively analyzed from June 2010 to June 2012. Results: The coincidence rate of hysteroscopy in 198 cases and pathological examination was 87.4%. There were 132 cases of benign and non-organic lesions and 18 cases of malignant lesions. The majority of benign lesions were endometrial polyps. Conclusion: Hysteroscopy combined with histopathological examination can find the cause of postmenopausal uterine bleeding, early diagnosis of endometrial cancer and precancerous lesions.