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目的:探讨绝经后宫腔积液的病因及阴道超声联合宫腔镜检查在绝经后宫腔积液中的诊断价值,以提高子宫内膜病变的早期诊断率。方法:选择96例绝经后宫腔积液患者的临床资料进行回顾性分析。结果:绝经后宫腔积液的主要病因是子宫内膜炎症、子宫内膜增生、宫腔内出血、子宫内膜良性肿瘤及恶性肿瘤,其中子宫内膜炎症是绝经后宫腔积液的主要原因。结论:要重视查找绝经后宫腔积液的病因,可将阴道超声联合宫腔镜检查作为主要的筛查及确诊方法,大大提高了子宫内膜病变的早期诊断率。
Objective: To investigate the etiology of post-menopausal uterine effusion and the diagnostic value of vaginal ultrasonography combined with hysteroscopy in post-menopausal uterine effusion to improve the early diagnosis of endometrial lesions. Methods: The clinical data of 96 patients with postmenopausal uterine effusion were retrospectively analyzed. Results: The main causes of post-menopausal uterine effusion were endometrial inflammation, endometrial hyperplasia, intrauterine bleeding, benign endometrial neoplasms and malignant tumors, of which endometrial inflammation was the main cause of postmenopausal uterine effusion. Conclusion: It is necessary to pay attention to find the etiology of postmenopausal uterine effusion, vaginal ultrasound combined with hysteroscopy as the main screening and diagnostic methods, greatly improving the early diagnosis of endometrial lesions.