更年期妇女发生不规则阴道流血子宫内膜病理诊断与分类

Pathological diagnosis and classification of endometrium in irregular vaginal bleeding of climacteric women

目的:探讨更年期妇女不规则阴道流血子宫内膜病理诊断与分类。方法:收治更年期妇女不规则阴道流血患者150例,所有患者均进行阴道超声检查及诊断性刮宫,对标本进行病理检查。结果:≥50岁妇女正常子宫内膜、子宫内膜单纯性增生发生率较<50岁妇女明显降低(P<0.05);≥50岁妇女子宫内膜复杂性增生、子宫内膜非典型性增生、子宫内膜癌发生率较<50岁妇女明显升高(P<0.05)。结论:更年期妇女不规则阴道流血子宫内膜病理类型较多,临床需及时实施诊断,及早根据患者实际病理类型实施针对性治疗,改善患者预后。

Objective：To investigate the pathological diagnosis and classification of endometrial endometrium in climacteric women with irregular vaginal bleeding.Methods：150 cases of irregular vaginal bleeding in menopause women were treated with vaginal ultrasound and diagnostic curettage,and the specimens were examined for pathological examination.Results：The incidence of simple hyperplasia of endometrium in women over 50 years old was significantly lower than that of women aged less than 50 years old（P〈0.05）.The incidence of endometrial complicated hyperplasia,endometrial atypical hyperplasia and endometrial cancer in women over 50 years old was significantly higher than that of women with less than 50 years old（P〈0.05）.Conclusion：There are more pathological types of endometrium in irregular vaginal bleeding in climacteric women.Clinical diagnosis should be carried out in time,and targeted treatment should be carried out early according to the actual pathological type of the patients to improve the prognosis of the patients.