绝经后子宫内膜增厚患者临床总结分析

Clinical study on postmenopausal women with abnormal endometrial thickening.

目的 :探讨对绝经后无症状B超子宫内膜增厚的处理原则。方法 :对同期4 8例无症状绝经后B超子宫内膜增厚及 6 2例绝经后出血B超子宫内膜增厚者进行临床与病理分析与比较。结果 :无症状绝经后子宫内膜增厚的 4 8例中 ,正常绝经后改变 32例(6 6 7% ) ,良性病变 16例 (33 3% ) ,无 1例恶性及癌前病变 ;合并出血的 6 2例中 ,正常绝经后改变 2 8例 (45 2 % ) ,良性病变 2 5例 (40 3% ) ,恶性 9例 (14 5 % )。结论 :绝经后妇女仅B超子宫内膜增厚 ,不伴出血等症状时 。

Objective:To evaluate the relationship between abnormal endometrial thickening and endometrial hyperplasia and to make strategy of treatment.Methods:48 asymptomatic postmenopausal women and 62 postmenopausal vaginal bleeding women with abnormal endometrial thickening in transvaginal ultrasound scanning were collected for clinical and pathologic analysis.Results: Among 48 asymptomatic postmenopausal women with endometrial thickening,there were 32 women with normal histological findings,16 women with benign hyperplasia,no one with cancer.Among 62 postmenopausal bleeding women with endometrial thickening,there were 28 women with normal histological findings,25 women with benign hyperplasia,9 women with cancer. Conclusions:Endometrial biopsy and fractional curettage may be avoided in most asymptomatic postmenopausal women with endometrial thickening.