627例绝经后子宫出血的病理检查结果分析

A Pathological Analysis of 627 Cases of Postmenopausal Endometrium Bleeding

分析我院10年间627例原因不明的绝经后子宫出血患者的分段诊刮和手术切除标本病理检查结果。发现393例（62．68％）功能性出血，131例（20．89％）子宫恶性肿瘤。恶性肿瘤以子宫内膜癌居多（占90．08％），但本组资料中9例子宫内膜癌分段诊刮漏诊．占恶性肿瘤6．87％，值得警惕。

Pathological review of fractional curettage of uterus and resected uterus were analysed in 627 cases of idiopathic postmenopausal endometrium bleeding for recent 10 years from this hospital.The results showed that the most common cause was dysfunctional uterine bleeding (393 cases. 62.68%), and the malignent tumor of uterus was the next (131 cases,20.89%). The incidence was higher than those of most reports in China, and the menostasis time was longer.And these cases would be suspected of suffering from malignent tumors.The most common malignent tumor of uterus was endometrial carcinoma (90.08%).It should be noted that 9 cases of endometrial carcinoma failed to be diagnosed by fractional curettage of uterus,it accounts for 6. 87% of malignent tumors of uterus.