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目的探讨绝经后宫腔积液的病因及诊治方法。方法对105例绝经后阴道B型超声(TVS)检查所示宫腔积液的患者进行回顾性分析。结果 105例患者中,阴道炎患者31例,占29.52%;其余74例患者行宫腔镜检查显示,宫腔点状出血29例,占27.62%,宫腔透明粘液23例,占21.90%,另有22例宫腔镜下未见异常,占20.95%。74例接受宫腔镜检查患者因诊刮未刮出内膜组织,行宫腔细胞学涂片,病理检查结果均未见恶性肿瘤细胞,其中16例患者查见炎性细胞。结论绝经后无子宫内膜增厚的宫腔积液多由炎症引起,应及早明确诊断。宫腔镜现已成为宫腔内病变诊断的金标准,其作为绝经后宫腔积液的病因诊断手段具有临床实用价值。
Objective To investigate the etiology and diagnosis and treatment of postmenopausal uterine effusion. Methods A retrospective analysis was performed on 105 cases of post-menopausal vaginal B-mode ultrasound (TVS) examination of uterine effusion. Results Of the 105 patients, 31 cases were vaginitis, accounting for 29.52%. Hysteroscopy in the remaining 74 patients showed that intrauterine punctate hemorrhage was 29 cases (27.62%), intrauterine transparent mucus was 23 cases (21.90%), There are 22 cases of hysteroscopic abnormalities, accounting for 20.95%. 74 cases received hysteroscopy in patients with curettage did not scratch the endometrial tissue, uterine cytology smears, the results of pathological examination showed no malignant cells, of which 16 patients were found inflammatory cells. Conclusion Postmenopausal endometrial thickening of the uterine effusion caused by more than inflammation, diagnosis should be as soon as possible. Hysteroscopy has become the gold standard for the diagnosis of intrauterine lesions, which has clinically practical value as an etiological diagnostic tool for post-menopausal uterine effusion.