宫腔镜检查在诊断绝经后子宫出血中的临床价值

The clinical value of hysteroscopy in the diagnosis of postmenopausal bleeding.

目的探讨宫腔镜检查在诊断绝经后子宫出血中的价值。方法对2007年1月～2009年1月的141例绝经后子宫出血患者的宫腔镜检查结果进行回顾性分析。结果子宫内膜萎缩出血32例，子宫内膜炎17例，子宫内膜增生23例，子宫内膜息肉42例，子宫黏膜下肌瘤8例，子宫内膜癌14例，宫内节育器残留5例。官腔镜诊断与病理检查的符合率为86．76％。118例中在镜下取活检或诊刮后病理检查证实为子宫内膜癌的检出率为11．86％，同期100例常规诊刮病例子宫内膜癌检出率为4．00％，两者相比差异有统计学意义（P〈0．05）。结论宫腔镜检查在绝经后子宫出血中具有重要的临床价值，绝经后出血的患者应常规行宫腔镜检查。

Objective To explore the value of hysteroscopy for postmenopausal bleeding. Methods Retrospective an - alyziswas conducted in 141 patients of postmenopausal bleeding with hysteroscopy findings on from January 2007 to January 2009. Results Atrophic endometriti 32 cases, endometritis in 17 cases, endometrial hyperplasia in 23 cases, endometrial polyps 42 cases, subvaueosal hysteromyoma in 8 cases, endometrial cancer 14 cases,remains of IUD in the uterus 5 cases. The diagnostic rate of bysteroscopy accorded with patholagical examination was 86. 76%. The diagnostic rate of endometrial cancer by pathology was 11.86% in all the 118 cases curettage assisted by hysteroscopy, but the diagnostic rate was 4. 00% in all the 100 cases diagnostic curettage （ P 〈 0. 05 ）. Conclusion Hysteroscopy has important clinical value and should be applied to post - menopausal uterine bleeding patients in routine examination.