Zlatkov V, Radeva V, Cholakova G, Mikhova A, Bŭrzakov G, Velinov E, Nikolov N
Akush Ginekol (Sofiia). 2002;41(5):33-5.
The aim of the present study was to investigate by diagnostic curettage the endometrial histological findings in women with irregular uterine bleeding in premenopause.
Two hundred and thirty women between 40 to 54 wears (mean 48.13) with history of irregular genital bleeding in premenopause were investigated. The classic dilatation and curettage of endometrial cavity was performed and histological results were analyzed.
The histological examination of the curettage material shows--normal endometrium in 32 (13.9%) women, anovulatory endometrium in 59 (26.6%), cystic hyperplasia and/or polyposis in 91 (39.6%), atrophic endometrium in 20 (8.7%), atypical hyperplasia in 15 (6.5%), endometrial cancer in 7 (3.1%) women and without adequate material were 6 (2.6%) cases.
This study pointed out, that women with irregular uterine bleeding in premenopause still remain serious diagnostic and therapeutic problem. Nevertheless, the separate curettage keeps its important role in assessment of health status of these women.
本研究的目的是通过诊断性刮宫来调查绝经前子宫不规则出血女性的子宫内膜组织学结果。
对230名年龄在40至54岁（平均48.13岁）、有绝经前生殖器不规则出血病史的女性进行了调查。进行了经典的子宫内膜腔扩张刮宫术，并对组织学结果进行了分析。
刮宫材料的组织学检查显示——32名（13.9%）女性为正常子宫内膜，59名（26.6%）为无排卵性子宫内膜，91名（39.6%）为囊性增生和/或息肉样变，20名（8.7%）为萎缩性子宫内膜，15名（6.5%）为非典型增生，7名（3.1%）为子宫内膜癌，6名（2.6%）病例材料不足。
本研究指出，绝经前子宫不规则出血的女性仍然存在严重的诊断和治疗问题。然而，单独的刮宫术在评估这些女性的健康状况方面仍起着重要作用。
