105例绝经后出血患者宫腔镜检查后临床资料的分析

Analysis of clinical data after hysteroscopy in 105 cases of postmenopausal bleeding

目的探讨绝经后出血的相关危险因素及宫腔镜检查对绝经后出血的诊断价值。方法回顾性分析2015.1至2017.9山西省妇幼保健院收治的105例经过宫腔镜检查的绝经后子宫出血患者的临床资料。结果绝经后出血中常见的病变为子宫内膜息肉、增殖期子宫内膜、子宫内膜癌等,合并糖尿病、高血压、肥胖者子宫内膜恶性病变的风险增加。宫腔镜检查诊断绝经后出血与病理诊断结果相比较,符合率为90.48%(95/105),差异无统计学意义(P>0.05)。结论绝经后出血须重视,尤其是子宫内膜增厚、合并糖尿病、高血压、肥胖患者。宫腔镜检查可以作为评价绝经后出血的可靠方法。

Objective To investigate the risk factors of postmenopausal bleeding and the value of hysteroscopy in the diagnosis of postmenopausal bleeding. Methods The clinical data of 105 cases of postmenopausal uterine bleeding from 2015.1 to 2017.9 in Shanxi maternal and child health care hospital were analyzed retrospectively. Results The most common pathological changes in postmenopausal bleeding were endometrial polyps, proliferative endometrium and endometrial cancer. The risk of endometrial malignancy increased with diabetes, hypertension and obesity. Compared with the pathological diagnosis of postmenopausal bleeding, the coincidencerateofhysteroscopywas90.48%（95/105）,andthedifferencewasnotstatisticallysignifcant（P〉0.05）. Conclusion Postmenopausal bleeding should be paid attention to, especially in patients with diabetes, hypertension and obesity. Hysteroscopy can be used as a reliable method for evaluating postmenopausal bleeding.