绝经后子宫出血60例病因分析

An etiological analysis of 60 outpatients with postmenopausal metrorrhagia by metroscopy

目的 前瞻性研究绝经后子宫出血的原因。方法 对绝经后子宫出血病人行宫腔镜检查,对可疑病灶行活检术和/或诊刮术,以病理检查结果作为病因诊断的依据。结果 60例绝经后子宫出血病人的出血原因为:子宫内膜萎缩出血及子宫内膜炎共28例(46.7％);子宫内膜增殖症12例(20.0％);子宫内膜癌6例(10.0％);子宫内膜息肉7例(11.7％);其他原因7例(11.7％)。结论 子宫内膜萎缩出血及子宫内膜炎是绝经后子宫出血的主要原因,宫腔镜检查是绝经后子宫出血的可靠诊断方法。

Objective To investigate the etiology of postmenopausal uterine bleeding prospectively in the outpatient department. Methods 60 postmenopausal outpatients with uterine bleeding were examined metroscopi-cally, the suspected lesions were subjected to biopsy and/or diagnostic curettage and the etiological diagnosis was based on the pathological findings. Results The causes of postmenopausal uterine bleeding of the 60 patients were: endometrial atrophy with bleeding and endornetritis altogether in 28 cases (46. 7 % ); endometrial hyperplasia in 12 cases(20. 0% );endometrial cancer in 6 cases(10.0% );endometrial polyps in 7 cases(11. 7% ) and the other causes in 7 cases (11. 7 %). Conclusion Endometrial atrophy with bleeding and endometritis are the chief causes of postmenopausal uterine bleeding,and metroscopy is a reliable diagnostic tool.