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目的:探讨宫腔镜结合病理学检查对绝经后妇女子宫出血原因的诊断价值。方法:回顾性分析宫腔镜结合病理组织学检查诊断176例绝经后妇女异常子宫出血的原因。结果:在176例绝经后子宫出血患者中,宫腔镜检查诊断子宫内膜息肉63例,子宫内膜增生46例,子宫内膜炎12例,子宫内膜萎缩25例,子宫黏膜下肌瘤17例,子宫内膜癌13例,其中151例进行了病理检查,宫腔镜检查与病理诊断的符合率为85.8%。结论:宫腔镜结合病理组织学检查可以明确绝经后子宫出血的原因,并能尽早确诊子宫内膜癌和癌前病变。
Objective: To investigate the diagnostic value of hysteroscopy and pathology in the diagnosis of uterine bleeding in postmenopausal women. Methods: The causes of abnormal uterine bleeding in 176 cases of postmenopausal women diagnosed by hysteroscopy combined with histopathology were retrospectively analyzed. Results: In 176 cases of postmenopausal uterine bleeding, hysteroscopy diagnosed 63 cases of endometrial polyps, 46 cases of endometrial hyperplasia, 12 cases of endometritis, 25 cases of endometrial atrophy, uterine submucosal fibroids 17 cases, 13 cases of endometrial cancer, of which 151 cases were pathological examination, hysteroscopy and pathological diagnosis was 85.8%. Conclusion: Hysteroscopy combined with histopathological examination can identify the cause of postmenopausal uterine bleeding, and early diagnosis of endometrial cancer and precancerous lesions.