目的探讨子宫内膜活检在异常子宫出血中的诊断作用。方法对2010年3月-2013年3月对来本院就诊的192例异常子宫出血患者进行子宫内膜活检。结果对192例患者进行子宫内膜活检，结果显示，排在前3位的依次是子宫内膜增生（44.79%）、子宫内膜炎（14.27%）、与妊娠相关疾病（18.23%），然后是子宫内膜息肉（5.73%）。子宫内膜增生类型中，子宫内膜单纯增生所占比例最高（79.07%），其次为子宫内膜复杂增生（11.63%）及子宫内膜不典型增生（9.30%）。子宫内膜炎类型中，慢性子宫内膜炎占比例最高（89.19%），其次为子宫内膜结核（8.11%）及子宫腔积脓（2.70%）。结论对子宫异常出血患者进行子宫内膜病理学检查与诊断，可以指导临床诊断和治疗。%Objective To explore endometrial biopsy in diagnosis of abnormal uterine bleeding. Methods 192 cases of abnormal uterine bleeding in patients with endometrial biopsy were collected from March 2010 to March 2013 in our hospital. Results 192 patients with endometrial biopsy showed that ranked in the top three were endometrial hyperplasia(44.79%),endometritis (14.27%),and pregnancy related diseases (18.23%), and then the endometrial polyps(5.73%). Endometrial hyperplasia type, simple hyperplasia of endometrium had the highest proportion (79.07%), which followed by endometrial complex hyperplasia(11.63%) and atypical hyperplasia of endometrium (9.30%). The type of endometritis, chronic endometritis accounted for the highest proportion (89.19%), which followed by endometrial tuberculosis (8.11%) and uterine empyema(2.70%). Conclusion For abnormal uterine bleeding in patients with endometrial pathological examination and diagnosis,to guide clinical diagnosis and treatment.
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