围绝经期子宫异常出血子宫内膜病理变化分析

摘要

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.%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。