68 cases of postmenopausal vaginal bleeding women hysteroscopy and pathology results Analysis（68例绝经后阴道出血妇女子宫镜检查和病理结果进行分析）.docVIP

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2017-09-05 发布于浙江
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68 cases of postmenopausal vaginal bleeding women hysteroscopy and pathology results Analysis（68例绝经后阴道出血妇女子宫镜检查和病理结果进行分析）.doc

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68 cases of postmenopausal vaginal bleeding women hysteroscopy and pathology results Analysis（68例绝经后阴道出血妇女子宫镜检查和病理结果进行分析）

68 cases of postmenopausal vaginal bleeding women hysteroscopy and pathology results Analysis [Abstract] With the life expectancy of women, hysteroscopy technology widely used in patients with postmenopausal bleeding, starting a hysteroscopy under direct vision to understand the cervical lumen and intrauterine morphology and found that the lesion followed by dysfunctional uterine bleeding, endometritis, submucous fibroids, endometrial polyps, cervical polyps, of IUD, benign ovarian tumors (accounted for 66.18% of malignant lesions of endometrial cancer, and malignant cervical lesions, ovarian cancer (a total of accounted for 33.82%, hysteroscopy the uterine lesions have a high specificity, to improve the diagnosis rate, should become menopausal vaginal bleeding of intrauterine lesions in patients with the “gold standard” [1], and then give the appropriate treatment to avoid delay treatment, affect the prognosis. [Keywords:] uterine bleeding hysteroscopic pathological findings Materials and Methods 1 clinical data 68 patients age 49-78 years old, mean age 61 years, years since menopause for 1-35 years, the bleeding time was 1 week to 3 years.gt; = 55 years old, 53 cases (77.94% lt;55 years old, 15 cases (accounting for 22.05% majority of patients presented with irregular vaginal bleeding, contact bleeding, there are four cases of long-term use of exogenous estrogen, two cases of intrauterine placed IUD. 2 Methods All patients were first abdominal B-ultrasound, record uterine length, width, thickness and uterine cavity, the echo characteristics of the uterine wall and the thickness of the endometrium, dual-attachment with or without cancer, and measurement of uterine resistance index and pulsatility index. And then line the uterine cavity microscopy and segmented curettage, the use of the Japanese the olympus hard mirror system line hysteroscopy, uterine distention media with 5% glucose solution, Palace firmness, 2 hours preoperative misoprostol