围绝经期子宫异常出血子宫内膜病理变化分析

Pathology of the endometrium in perimenopausal women with abnormal uterine bleeding

摘要: 目的:探讨围绝经期子宫异常出血患者的子宫内膜病理变化。方法:回顾性分析152例子宫异常出血患者诊刮子宫内膜的组织病理学资料。结果:152例子宫内膜中,增生性改变 74例(48.68%),子宫内膜增殖期48例(31.58%),子宫内膜分泌期18例(11.84%),激素治疗后反应2例(1.32%),子宫内膜息肉7例(4.61%),局灶癌变1例(0.66%),不全流产2例(1.32%)。结论:子宫内膜增生性改变是围绝经期子宫异常出血最常见的原因之一,故应重视围绝经期子宫异常出血诊刮子宫内膜的病理诊断。

Abstract: Objective:To investigate the pathologic features of endometrium in perimenopausal women with abnormal uterine bleeding.Methods:The pathologic data of endometrium in 152 perimenopausal women with abnormal uterine bleeding were retrospectively analyzed.Results:Among 152 cases,the hyperplasis endometria in 74 cases(48.68%),proliferated phase of endometria in 48 cases(31.58%),secretory endometria in 18 cases(11.84%),hormone therapy endometria in 2 cases(1.32%),endometrial polyps in 7 cases(4.61%),local endometrial cancer in 1 case(0.66%) and incomplete abortion in 2 cases(1.32%) were identified.Conclusions:Hyperplasis is the most common cause of the abnormal uterine bleeding in perimenopausal women,thereby the pathological diagnosis of endometrium should be noted.