| 摘要: |
| 目的分析宫腔镜对老年女性子宫内膜病变的诊断意义。方法2005年1月至2008年12月就诊因怀疑子宫内膜病变行宫腔镜检查的老年女性患者130例,其中无症状组51例,有症状组79例。宫腔镜下检查,取可疑点活检,和(或)行息肉切除术。取材组织送病理检查。结果内膜息肉为最常见病因,占46.2%(60/130)；其次为萎缩性子宫内膜炎、子宫内膜增生、黏膜下肌瘤、不典型增生和子宫内膜癌,分别占26.9%(35/130)、10.0%(13/130)、6.2%(8/130)、6.2%(8/130)和4.6%(6/130)。两组病例中良性病理分别占96.1%(49/51)和84.8%(67/79),而内膜癌或不典型增生病例分别为3.9%(2/51)和15.2%(12/79),2组间差异有统计学意义(P<0.05) 。结论宫腔镜检查及镜下活检是诊断老年女性子宫内膜疾病的可靠方法。 |
| 关键词: 宫腔镜检查 老年人 子宫内膜疾病 |
| DOI：10.3724/SP.J.1008.2011.0453 |
| 投稿时间：2010-12-16修订日期：2011-02-24 |
| 基金项目: |
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| Application of hysteroscopy in diagnosis of endometrial diseases in aged women |
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| Abstract: |
| 0bjective To investigate the diagnostic value of hysteroscopy in endometrial disease in female senility. Methods 130 cases of old-age women(≥ 60 yrs)were divided into two groups according to asymptomatic group and symptomatic group. They were evaluated by hysteroscopy and pathological diagnosis. Results It was found by hysteroscopy that the causes resulting in old-age women were as follow:endometrial polyps(46.1%),atrophic endometritis (26.9%),endometrial hyperplasia(10%),submucosal hysteromyoma(6.1%),atypical hyperplasia(6.1%),endometrial cancer(4.6%). The prevalence of benign endometrial disease of the two groups are 96.1% and 84.8％ respectively, the prevalence of malignancy or atypical hyperplasia were 3.9%and 15.2% respectively. The difference between two groups was significant (P<0.05).Conclusions The endometrial disease of old-aged women can be evaluated successfully by hysteroseopy and biopsy. |
| Key words: hysteroscopy old-aged women endometrial disease |
