宫腔镜联合B超检查对绝经后子宫出血的诊断价值探讨

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1、宫腔镜联合B超检杳对绝经厉子宫出血的诊断价值探讨【关键词】宫腔镜【摘要】目的探讨绝经后子宫出血的原因和评价宫腔镜对绝经后子宫IB血的诊断价值。方法采用宫腔镜联合B超检查为病理组织学检查相结合的方法，对106例绝经后子宫出血患者的出血原因进行回顾性分析。结果子宫内膜萎缩是引起绝经后子宫出血的主要原因，其次为子宫内膜息肉、子宫内膜癌及癌询病变、子宫粘膜下肌瘤及子宫内膜增生。宫腔镜诊断与病理组织学检查的符介率为82.07%。其屮良性病变94例，子宫内膜癌及癌前病变10例。结论宫腔镜联合B超检查结合病理组织学检查对发现绝经后子宫出血的原因，尽早确诊子

2、宫内膜癌及癌前病变，预防子宫内膜癌的发生具有积极的作川。宫腔镜检查是一种操作方便、安全冇效，使用价值较高的方法。vPstyle=”TEXT-INDENT:24px“>关键词绝经子宫出血宫腔镜检查子宫内膜癌vPstyle=nTEXT-INDENT:24px“align=center>ThediagnosticvalueofhysteroscopycombinedwithBultrasonographyexaminationonpostmenopausalbleedin

3、gYuBaozhen,LiLanfenMatemityandChildrenHealthCareHospitalofShunyiDistrict,Beijing101300.[Abstract]ObjectiveToinvestigatethecausesofpostmenopausalbleedingandevaluatethedia

4、gnosticvalueofhysteroscopy.MethodsUsingthediagnostictechniqueofhysteroscopycombinedwithBultrasonographyanddi~rectedbiopsies,thecausesofpostmenopausalbleedingon106patientsundergoinghysteroscopywereanalysed.ResultsAtrophicendometriumwasthemostcommoncauseofpostmenopausalbleedi

5、ngandthatendometrialpolyp,endome~trialcarcinoma/precancerouslesion,andsubmucousleiomyoma/endometrialhyperplasiawerealsocommoninthepa-tientswithpostmenopausalbleeding.Theagreementratebetweenhysteroscopyanddirectedbiopsieswas82.07%.Inl06casesofpostmenopausalbleeding,thebenign

6、andmalignantpathologicalchangeswerefound94and1Ocasesre一spectively.ConclusionThecombineduseofhysteroscopictechniqueanddirectedbiopsiesbyullraso-nographyisofgreatsignificanceinfindingoutthecausesofpostmenopausalbleeding,makingadefinitediagnosisofendometrialcar~cinomaandprecan

7、cerouslesion,andfurtherpreventingtheoccurrenceofendometrialcarcinoma.TheexaminationofhysteroscopycombinedwithBultrasonographyisaneffectiveandvaluablemethodfordiagnosingpostmenopausalbleeding.Keywordsmenopauseuterinebleedinghysteroscopyendometrialc

8、arcinoma绝经后子宫出血是绝经期妇女常见的症状Z—。近年来，绝经后子宫出血越来越引起更年期保健工作者和绝