摘要
目的:通过对诊刮的子宫内膜作临床病理分析,讨论内膜诊刮的病因及病理检查的临床意义。方法:复习325例30岁以上内膜诊刮病理切片,观察各年龄组与内膜病变的特点,并根据诊刮原因分析各组与病理诊断结果的关系。结果:临床诊刮以不规则阴道出血为多,大部分为功能失调内膜。良性增生性疾病各年龄组相比较无显著性差异(P>0.05),而恶性肿瘤在60岁以上与60岁以下两者相比发生率明显升高(P<0.001)。育龄期妇女不当妊娠也是造成不规则阴道出血和诊刮的原因之一。结论:30岁以上妇女均可由于内分泌失调引起内膜各种生理性、病理性改变。诊断性刮宫病理检查对明确诊断指导治疗及研究计划生育均有很重要的意义。
Objective: ST5,5BZBymeansofclinial pathologicalanalysisofthediagnosticscrapingendometrium,thecauseofdiagnosticscrapingandtheclinicalsignificanceofpathologicexaminationwerediscussed. Method: Afterareviewonthepathologicspecimensofdiagnosticscrapingendometriacollectedfrom325casesoverthirtyyearsofage,thepathologicfeaturesofendometriaindifferentagegroupswereobserved.Besides,therelationshipsbetweenthediagnosticscrapingandtheresultofpathologicaldiagnosiswereanalysed. Results: trregularhaemorrhageisthecommoncauseforclinicaldiagnosticscraping.Mostofthemaredysfunctionalendometria.Intheagegroupssufferedfrombenignproliferativedisorders,nosignificantdifferenceshavebeenfound(P>0.05).Butmalignanttumorsinthegroupoversixtyyearsaresignificantlyhigherthanthoseundersixtyyearsofage(P<0.001).Unfitpregnanciesingestationagedmayalsobringaboutirregularvaginalhemorrhage and diagnostic scraping. Conclusion:,5BZOwing to endocrinedisturbances,variousphysiologicalandpathologicalchangesmayarise.Itissuggestedthatpathologicexaminati
出处
《河北医学》
CAS
1999年第8期15-17,共3页
Hebei Medicine
关键词
子宫内膜
诊断性刮宫
内膜癌
内膜增生过长
诊断
Endometrium
Diagnosticscrapingofuterus
Endocrine
Endometrialcancer
Longdrawnendometrialproliferationonofdiagnosticscrapingarehighlysignificanttodefinitediagnosis,propertreatment,andfurtherinvestigationforbirthcontrol.