Cronjé H S
S Afr Med J. 1984 Nov 17;66(20):773-4.
Hysteroscopy was done immediately before diagnostic fractional curettage in 93 patients with postmenopausal uterine bleeding, as well as in 84 control patients with premenopausal abnormal uterine bleeding. About 13% of patients in both groups were receiving hormonal therapy, while patients with intra-uterine devices were excluded from the study. Bleeding within the uterine cavity obscured the view at hysteroscopy in 3,6% of premenopausal patients, but in none of the postmenopausal patients. Comparison of the final diagnoses in the two groups revealed more endometrial polyps and carcinoma in the postmenopausal patients. However, no tissue for histological examination was obtained at fractional curettage in 28% of the postmenopausal patients, compared with only 4,8% of premenopausal patients (P less than 0,0001). Thus the combined use of hysteroscopy and fractional curettage significantly improves diagnostic accuracy in postmenopausal patients.
对93例绝经后子宫出血患者以及84例绝经前子宫异常出血的对照患者，在诊断性分段刮宫前均立即进行了宫腔镜检查。两组中约13%的患者正在接受激素治疗，而宫内有节育器的患者被排除在研究之外。绝经前患者中有3.6%的患者宫腔内出血遮挡了宫腔镜检查视野，但绝经后患者中无一例出现这种情况。两组最终诊断结果比较显示，绝经后患者中子宫内膜息肉和癌更多。然而，28%的绝经后患者在分段刮宫时未获得用于组织学检查的组织，而绝经前患者中这一比例仅为4.8%（P<0.0001）。因此，宫腔镜检查与分段刮宫联合使用可显著提高绝经后患者的诊断准确性。
