子宫异常出血子宫内膜病理诊断分析(1)
摘要:目的 分析子宫异常出血子宫内膜病理诊断价值。方法 选取我院妇科收治的98例子宫异常出血患者病历,将其分为生育期组和围绝经期组,对比两组患者在两个不同阶段子宫内膜刮后病理结果。结果 两组妇女中子宫功能失调性出血共有87例,占88.78%,主要为子宫内膜单型、复杂、不典型增生以及内膜癌。并且年龄越大,内膜癌发病率越高,围绝经期容易发生内膜癌。结论 生育期组患者发生子宫异常出血子宫内膜病理诊断结果明显低于围绝经组,但具体诊断结果还应结合患者诊刮病理检查结果。
关键词:子宫异常出血;病历诊断;应用价值
中图分类号:R446.8;R711 文献标识码:A 文章编号:1006-1959(2017)24-0182-02
Endometrial Pathological Diagnosis and Analysis of Abnormal Uterine Bleeding
, http://www.100md.com
XU Ri-hong
(Department of Pathology,People's Hospital of Guangfeng District,Shangrao 334600,Jiangxi,China)
Abstract:Objective To analyze the value of endometrial pathological diagnosis of abnormal uterine bleeding.Methods 98 cases of abnormal uterine bleeding were collected from our hospital.The patients were divided into two groups:the growth stage and the perimenopausal group.The pathological results of the two groups were compared at two different stages.Results There were 87 cases of uterine dysfunctional hemorrhage in the two groups, accounting for 88.78%,mainly endometrial type,complex,atypical hyperplasia and endometrial cancer.And the older,the higher the incidence of endometrial cancer,perimenopausal prone to endometrial cancer.Conclusion The results of endometrial pathological diagnosis of uterine dysplasia in patients with stage of growth were significantly lower than those in periarthritis group,but the specific diagnosis should also be combined with the patient diagnosis and treatment of pathological results.
, 百拇医药
Key words:Abnormal uterine bleeding;Medical record diagnosis;Application value
子宫内出血为妇产科常见病之一,临床研究发现患者子宫异常出血、肿瘤等均可导致此病。由于子宫内结构较为复杂,极易与其他疾病混淆,所以对子宫异常出血的诊断和鉴别尤为重要。不规则子宫出血可导致患者不孕不育,患者甚至出现异位妊娠或习惯性流产,严重者导致妊娠后出现贫血,威胁胎儿生命[1]。本文主要研究子宫异常出血子宫内膜病理诊断的临床应用价值,现报告如下。
1资料与方法
1.1一般资料
选取2015年7月~2016年7月我院妇科收治的98例子宫异常出血患者病历,将其分为生育期组和围绝经期组,每组49例,其中生育期组妇女年龄为22~50岁,平均年龄为(41.9±3.7)岁,未育者11例,初产妇14例,经产妇20例,最高生育次有5次,不规则出血时间1~6年,平均不规则出血时间(3.4±2.1)年;绝经期组中妇女年龄为50~79岁,平均年龄为(61.9±3.4)岁,初产妇19例,经产妇30例,最高生育次有6次,不规则出血时间2~5年,平均不规则出血时间(3.2±1.9)年;所有患者排除患有肝肾衰竭、凝血功能障碍、精神障碍等疾病,对比两组患者一般资料无明显差异(P>0.05)。
, 百拇医药
1.2方法
本次调查大部分患者在发生子宫内膜出血时进行诊刮,根据不同情况进行综合评估病情。若初步诊断患者为无排卵期子宫异常出血者应在月经来潮6小时进行诊刮;若疑似患者月经不规律者,应在患者月经规律来潮第5~7 d进行诊刮。在临床操作前告知患者禁止性生活、坐浴,同时就诊前应停止使用相关药物72 h,告知患者注意休息,临床研究发现过分紧张也可导致患者出现不规则子宫出血或停止出血等情况。
1.3 评价标准
患者病理标准分为:①基本正常:患者子宫内膜各项指标均正常;②简单型增生:腺体结构为管状或囊性扩张腺体、腺体明显拥挤, 背靠背少见、腺体与间质比率>3∶1、胞核假复层核仁不明显, 无异型性;③复杂型增生:复杂的腺体分支, 腺腔内上皮突起、腺体与间质比率≥3∶1, 间质被挤而萎缩, 出现泡沫细胞、胞核假复层, 胞核形态相似于中晚期;④不典型增生:复杂结构常见。单纯结构少见、腺体与间质比率>3∶1 或≥3∶1, 間质少,泡沫细胞较多见、胞核假复层,大小不一,常为圆形,核仁明显, 胞质透亮嗜酸性;⑤子宫内膜癌:浸润检查内膜增生转化为癌。, 百拇医药(徐日红)
关键词:子宫异常出血;病历诊断;应用价值
中图分类号:R446.8;R711 文献标识码:A 文章编号:1006-1959(2017)24-0182-02
Endometrial Pathological Diagnosis and Analysis of Abnormal Uterine Bleeding
, http://www.100md.com
XU Ri-hong
(Department of Pathology,People's Hospital of Guangfeng District,Shangrao 334600,Jiangxi,China)
Abstract:Objective To analyze the value of endometrial pathological diagnosis of abnormal uterine bleeding.Methods 98 cases of abnormal uterine bleeding were collected from our hospital.The patients were divided into two groups:the growth stage and the perimenopausal group.The pathological results of the two groups were compared at two different stages.Results There were 87 cases of uterine dysfunctional hemorrhage in the two groups, accounting for 88.78%,mainly endometrial type,complex,atypical hyperplasia and endometrial cancer.And the older,the higher the incidence of endometrial cancer,perimenopausal prone to endometrial cancer.Conclusion The results of endometrial pathological diagnosis of uterine dysplasia in patients with stage of growth were significantly lower than those in periarthritis group,but the specific diagnosis should also be combined with the patient diagnosis and treatment of pathological results.
, 百拇医药
Key words:Abnormal uterine bleeding;Medical record diagnosis;Application value
子宫内出血为妇产科常见病之一,临床研究发现患者子宫异常出血、肿瘤等均可导致此病。由于子宫内结构较为复杂,极易与其他疾病混淆,所以对子宫异常出血的诊断和鉴别尤为重要。不规则子宫出血可导致患者不孕不育,患者甚至出现异位妊娠或习惯性流产,严重者导致妊娠后出现贫血,威胁胎儿生命[1]。本文主要研究子宫异常出血子宫内膜病理诊断的临床应用价值,现报告如下。
1资料与方法
1.1一般资料
选取2015年7月~2016年7月我院妇科收治的98例子宫异常出血患者病历,将其分为生育期组和围绝经期组,每组49例,其中生育期组妇女年龄为22~50岁,平均年龄为(41.9±3.7)岁,未育者11例,初产妇14例,经产妇20例,最高生育次有5次,不规则出血时间1~6年,平均不规则出血时间(3.4±2.1)年;绝经期组中妇女年龄为50~79岁,平均年龄为(61.9±3.4)岁,初产妇19例,经产妇30例,最高生育次有6次,不规则出血时间2~5年,平均不规则出血时间(3.2±1.9)年;所有患者排除患有肝肾衰竭、凝血功能障碍、精神障碍等疾病,对比两组患者一般资料无明显差异(P>0.05)。
, 百拇医药
1.2方法
本次调查大部分患者在发生子宫内膜出血时进行诊刮,根据不同情况进行综合评估病情。若初步诊断患者为无排卵期子宫异常出血者应在月经来潮6小时进行诊刮;若疑似患者月经不规律者,应在患者月经规律来潮第5~7 d进行诊刮。在临床操作前告知患者禁止性生活、坐浴,同时就诊前应停止使用相关药物72 h,告知患者注意休息,临床研究发现过分紧张也可导致患者出现不规则子宫出血或停止出血等情况。
1.3 评价标准
患者病理标准分为:①基本正常:患者子宫内膜各项指标均正常;②简单型增生:腺体结构为管状或囊性扩张腺体、腺体明显拥挤, 背靠背少见、腺体与间质比率>3∶1、胞核假复层核仁不明显, 无异型性;③复杂型增生:复杂的腺体分支, 腺腔内上皮突起、腺体与间质比率≥3∶1, 间质被挤而萎缩, 出现泡沫细胞、胞核假复层, 胞核形态相似于中晚期;④不典型增生:复杂结构常见。单纯结构少见、腺体与间质比率>3∶1 或≥3∶1, 間质少,泡沫细胞较多见、胞核假复层,大小不一,常为圆形,核仁明显, 胞质透亮嗜酸性;⑤子宫内膜癌:浸润检查内膜增生转化为癌。, 百拇医药(徐日红)