宫腔镜检查在绝经后子宫出血中的诊断价值

Diagnostic value of hysteroscopy in postmenopausal bleeding

目的探讨宫腔镜检查在绝经后子宫出血中的诊断价值。方法对361例绝经后子宫出血患者行宫腔镜检查,镜下定位取材,并行病理检查。结果绝经后子宫出血以良性病变为主,以子宫内膜息肉发病率最高,其次为萎缩性子宫内膜、子宫黏膜下肌瘤;宫腔镜检查与病理诊断总的符合率为89.08%,符合率从高到底依次为子宫黏膜下肌瘤、子宫内膜息肉、萎缩性子宫内膜、子宫内膜炎、子宫内膜增生及子宫内膜癌。结论宫腔镜检查具有直观性、准确性及全面性,是诊断绝经后子宫出血的首选方法,值得临床推广。

[ Objective ] To investigate the diagnostic value of hysteroscopy in postmenopausal bleeding. [ Meth- ods] 361 cases of postmenopausal bleeding were examined, underwent biopsy with hysteroscopy, and tissues were taken for pathology examination. [ Results ] The study indicated that the main causes in postmenopausal bleeding were benign disease. The highest incidence was endometrial polyp, then atrophic endometrium and submucous my- oma. The total coincidence rate between pathology examination and hysteroscopy was 89.08%, The rate was in se- quence of submucous myoma, endometrial polyp, atrophic endometrium, endometritis, endometrial hyperplasia, en- dometrial carcinoma. [ Conclusions ] The hysteroscopy has the advantage of vivacity, veracity, and comprehensive- ness. It is the first choice for diagnosis of postmenopausal bleeding, and worth to be popularized in clinical practice.