宫腔镜检查在绝经后阴道流血疾病中的应用价值

Application value of hysteroscopy in vaginal bleeding after menopause

目的探讨绝经后妇女阴道流血的原因及宫腔镜检查在临床中的应用价值。方法选取就诊于本院的153例绝经后阴道流血患者作为研究对象,对其进行宫腔镜检查,并对病变组织送病理检查,针对宫腔镜诊断及病理结果进行对比分析。结果绝经后阴道流血的主要原因为子宫内膜良性病变,占92.81%,子宫恶性肿瘤占7.19%,绝经时间越长,恶性肿瘤的发生率越高,宫腔镜诊断与病理检查结果基本一致,符合率为89.98%。结论对绝经后阴道流血的患者进行宫腔镜检查,并对病灶进行活检或诊刮后送病理检查,可明确病因,提高诊断准确率。

Objective To explore the causes of vaginal bleeding after menopause and application value of hysteroscopy in clinic. Methods 153 cases with vaginal bleeding after menopause in our hospital were selected as research object. The hysteroscopy was implemented,and the diseased tissue was picked for pathological examination.The diagnosis of hysteroscope and pathological outcomes was compared and analysed. Results The main reasons of postmenopausal vaginal bleeding was endometrial benign lesion,which accounted for 92.81%.Malignant uterine tumors accounted for 7.19%.The menopause time was longer,and the incidence rate of malignant tumor was higher,hysteroscopic diagnosis and pathological examination results was consistent,the coincidence rate was 89.98%. Conclusion Patient with vaginal bleeding after menopause are examined by hysteroscope,and the lesions was send pathological examination after biopsy or clinical scraper,which can define the etiology,and improve the accuracy rate of diagnosis as well.