绝经后子宫内膜增厚的治疗进展

Treatment in Endometrial Thickening of Postmenopausal Women

超声检查是一种无创、方便、准确的检测技术,临床上常将其用于筛查有无内膜病变。对于通过超声检查发现的绝经后子宫内膜增厚妇女进行进一步有创性检查的时机,在绝经后有异常子宫出血和无症状患者中存在差异。在临床实践中,对于绝经后有异常子宫出血的患者进行有创性检查的时机较为明确,但对于绝经后无症状的内膜增厚及绝经后接受激素治疗的内膜增厚患者进行有创性检查的时机尚存争议。故本文就绝经后子宫内膜增厚的治疗进展做一综述。

Ultrasonography is a non-invasive, convenient and accurate detection technique, which is often used in clinical screening for endometrial lesions. The timing of further invasive testing for post-menopausal women with endometrial thickening detected by ultrasound varies between post-menopausal and asymptomatic patients with abnormal uterine bleeding. In clinical practice, the timing of invasive examination for postmenopausal patients with abnormal uterine bleeding is rel-atively clear, but the timing for postmenopausal asymptomatic endometrial thickening and post-menopausal hormone therapy patients with endometrial thickening remains controversial. There-fore, this article reviews the treatment progress of postmenopausal endometrial thickening.