绝经后女性子宫内膜厚度与内膜癌风险的相关性

Relationship of endometrial thickness and endometrial cancer risk in postmenopausal women

绝经后阴道流血的女性应积极评估以排除内膜病变的风险，经阴道超声测量内膜厚度非常重要。对于绝经后无症状、子宫内膜增厚的女性，目前尚无明确的内膜厚度临界值能够预测恶变风险。在无症状的绝经后患者中，绝大部分内膜切除的病理为良性病变或正常组织。以阴道超声对无症状的绝经后女性进行内膜癌的普遍筛查或干预可能没有必要。

Evaluation of the vaginal bleeding of postmenopausal women is crucial to diagnose endometrial lesions. Endometrial thickness measured by transvaginal ultrasonography provides an important reference for diagnosis. Currently, no specific cut-off value of endometrial thickness has been identified to predict the malignant risk for endometrial thickening and postmenopausal women without any symptoms. Most of resected endometrial specimens from postmenopausal women without any symptoms are diagnosed as benign or normal tissues. It seems that postmenopausal women without any symptoms have no need for general screen or intervention of endometrial cancer.