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目的:分析绝经后子宫出血的原因及其有关因素。方法:分析82例绝经后子宫出血行诊断性刮宫患者的病理资料。结果:绝经后子宫出血患者的病理诊断分别为萎缩性子宫内膜26例(57.8%),增生期子宫内膜31例(37.8%),分泌期子宫内膜14(17.10%);子宫内膜癌7例占8.5%;子宫内膜炎4例占4.9%。结论:绝经后子宫出血以功能失调性为主,应常规体检,B超检查,预防子宫内膜癌病变。
Objective: To analyze the causes of postmenopausal uterine bleeding and its related factors. Methods: 82 cases of postmenopausal uterine bleeding in patients with diagnostic curettage pathological data. Results: 26 cases (57.8%) of atrophic endometrium, 31 cases (37.8%) of endometrial hyperplasia and 14 (17.10%) secretory endometrium were found in the pathological diagnosis of postmenopausal uterine bleeding. 7 cases of cancer accounted for 8.5%; 4 cases of endometritis 4.9%. Conclusion: Postmenopausal uterine bleeding is mainly dysfunctional. It should be routine physical examination and B-ultrasound to prevent the disease of endometrial cancer.