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目的:探讨绝经后老年妇女子宫内膜良恶性的特点。方法:对2010年10月～2011年10月因绝经后子宫出血进行分段诊刮并病理诊断的80例老年妇女资料进行回顾性分析,分析超声检查与分段诊刮病理结果符合率,恶性病变患者(恶性组)与良性病变(良性组)患者的年龄、孕次、产次、绝经年龄、绝经时间、子宫大小、子宫内膜厚度情况。结果:①超声检查结果异常64例,正常16例,异常率80.00%,超声异常显示其中宫腔占位31例(38.75%),子宫内膜增厚22例(27.50%),宫腔积液11例(13.75%)。②病理检查恶性病变患者13例,良性病变67例,两组患者在年龄、孕次、产次两组之间无统计学差异(P>0.05),绝经年龄、绝经时间、子宫大小、子宫内膜厚度两组之间比较存在统计学差异(P<0.05)。结论:绝经后老年妇女子宫内膜病变主要是子宫内膜息肉、子宫内膜癌、子宫内膜炎为主,恶性病变子宫内膜癌患者的绝经年龄、绝经时间、子宫大小、子宫内膜厚度明显大于良性病变患者。
Objective: To investigate the characteristics of benign and malignant endometrium in postmenopausal women. Methods: From October 2010 to October 2011, 80 elderly women with segmental curettage and pathological diagnosis of post-menopausal uterine bleeding were retrospectively analyzed. The results of ultrasonic examination and segmental curettage were analyzed. The coincidence rate, malignancy Age, pregnancy time, delivery time, menopause age, menopause time, uterine size, endometrial thickness in patients with pathological changes (malignant group) and benign lesions (benign group). Results: ① The results of ultrasonography were abnormal in 64 cases, normal in 16 cases and abnormal rate in 80.00%. Ultrasound showed that the uterine cavity was occupied in 31 cases (38.75%), endometrial thickening in 22 cases (27.50%), uterine effusion Eleven patients (13.75%). Pathological examination of malignant lesions in 13 patients, 67 cases of benign lesions, two groups of patients in age, pregnancy times, delivery times between the two groups no significant difference (P> 0.05), menopause age, menopause time, uterine size, intrauterine There was statistical difference between the two groups (P <0.05). Conclusion: The endometrial lesions in the elderly postmenopausal women are mainly endometrial polyps, endometrial cancer and endometritis, and the menopausal age, menopause time, uterine size, endometrial thickness in patients with malignant endometrial cancer Obviously larger than benign lesions.