诊断性刮宫术在绝经前\后妇女中的临床应用
【摘要】目的:探讨诊断性刮宫术（诊刮术）在绝经前、后妇女疾病中的应用。方法:回顾分析我院妇产科门诊246例行诊刮术患者的全部临床资料。结果:阴道不规则出血是绝经前、后妇女诊刮的首位原因，分别为71.42%、80.55%;因阴道不规则出血行诊刮术的病理结果中，绝经前功能性改变（63.33%）、良性病变（20.67%）、增生性病变（10.66%）、恶性肿瘤（2.90%）。绝经后功能性改变（34.48%）、良性病变（24.14%）、恶性肿瘤（13.79%）。绝经后诊刮内膜取材不足占17.24%，明显高于绝经前（P<0.01）结论：绝经前诊刮术患者恶性肿瘤少，绝经后诊刮内膜取材不足要定期随诊。
【关键词】诊断性刮宫术；绝经；临床；子宫出血
【中图分类号】R713.4+1【文献标识码】A【文章编号】1008-6455（2011）04-0039-02
Clinical analysis of diagnostic curettage for premenopausal and postmenopausal women
Zhang Fumei Bai Haiyan Ma Na Jia Li
【Abstract】Objective:To explore the diagnostic value of dilation and curettage （D&C） in women who are pre-menopausal and postmenopausal.Methods :Analyse the section for outpatients women pre-menopausal. Results: Abnormal vaginal bleeding is the number one reason of diagnostic curettage for premenopausal and postmenopausal women, which are 71.42% and 80.55%. In those premenopausal, 63.33% is functional changes, 20.67% benign, 10.66% hyperlasia, 2.90% cancer. For postmenopausal, 34.48% functional changes, 24.14% benign and 13.79% cancer. Lack of intima for postmenopausal takes 17.24%, significantly higher than premenopausal（P<0.01）.Conclusion:Premenopausal patients has less organic damage, especially less cancer rate, postmenopausal patients often lack of intima, needs regular follow up.
【Key words】diagnostic curettage;menopause;vaginal bleeding
诊断性刮宫术简称诊刮术，是诊断宫腔疾病采用的重要方法之一［1］，诊刮术对绝经后妇女的应用已有很多报道［2］。但是，在妇产科接受诊治的患者中，仍有大量绝经前妇女因阴道不规则出血需行诊断性刮宫...
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