Luo Q D, Chen X Y
Zhonghua Fu Chan Ke Za Zhi. 1989 May;24(3):150-2, 189.
Postmenopausal bleeding is a special diagnostic problem in gynecology on account of inadequate specimen obtained during dilatation and curettage for pathologic examination. Instead, hysteroscopy proves to be an ideal procedure in defining the cause of bleeding through direct vision of the pathologic lesions in the uterine cavity. In this series, hysteroscopy was performed in 150 patients with postmenopausal bleeding. The causes of bleeding enumerated by the order of frequency of occurrence are atrophic endometrium, exogenous estrogen effect, unremoved IUD, endometrial carcinoma, submucous myoma and endometrial polyps.
绝经后出血是妇科一个特殊的诊断问题,因为在扩张刮宫术获取病理检查标本时往往不足。相反,宫腔镜检查通过直接观察宫腔内的病理病变,被证明是确定出血原因的理想方法。在本系列研究中,对150例绝经后出血患者进行了宫腔镜检查。按发生频率依次列举的出血原因有萎缩性子宫内膜、外源性雌激素作用、未取出的宫内节育器、子宫内膜癌、黏膜下肌瘤和子宫内膜息肉。