子宫肌瘤的子宫内膜变化320例临床分析

Changes in uterine fibroids endometrial clinical analysis of 320 cases

目的:观察子宫肌瘤患者的子宫内膜组织学变化,探讨其与月经症状、年龄的关系。方法:回顾性分析320例子宫肌瘤患者,根据月经症状分为月经正常组、月经过多组、月经紊乱组;根据年龄分为<45岁组和≥45岁组,观察每组子宫内膜组织变化。结果:子宫肌瘤患者中子宫内膜病变占20.6%;≥45岁组子宫内膜癌前病变和异步反应比例显著高于<45岁组(P<0.05)。结论:应根据子宫肌瘤患者子宫内膜变化,合理选择治疗方案。

Objective To observe endometrial histological changes of patients with uterine fibroids and to study the relationship between endometrial histological changes and menstrual symptoms,age.Methods To retrospective analyses 320 cases with uterine fibroids,who were divided into the normal group,group of menorrhagia,menstrual disorder group according to menstrual symptoms,or were divided into45 or ≥ 45 years age group according to age,and observed endometrial organizational changes.Results Uterine fibroids endometrial lesions accounted for 20.6%;the proportion of endometrial precancerous lesions and asynchronous response in ≥ 45-year-old group were significantly higher than 45 years group （P 0.05）.ConclusionAreasonable treatment should be chosen according to endometrial changes in patients with uterine fibroids.