宫腔镜检查老年妇女阴道异常流血病因的可行性及安全性研究(1)
[摘要] 目的 探讨宫腔镜在老年妇女阴道流血病因检查及治疗中的应用价值。 方法 选择2008年10月～2011年12月本院收治的老年妇女阴道流血患者120例，均进行宫腔镜检查及病理诊断。选择同期育龄期阴道流血妇女120例为对照组，也进行宫腔镜手术治疗。对比分析老年患者阴道流血出现的病因。 结果 两组患者均完成宫腔镜检查，两组操作时间、出血量差异均无统计学意义(P > 0.05)，但老年妇女组妇女宫腔镜检查时心率明显下降者多于对照组，差异有统计学意义(P < 0.05)。老年阴道出血妇女子宫内膜息肉、萎缩性子宫内膜炎、子宫内膜癌发病率明显高于育龄妇女，差异有统计学意义(P < 0.05或P < 0.01)，而子宫黏膜下肌瘤，宫腔粘连、子宫内膜不典型增生发病率明显低于育龄妇女，差异有统计学意义(P < 0.05或P < 0.01)。 结论 宫腔镜检查用于老年阴道出血患者，可尽早明确出血原因，准确度也优于传统B超，值得应用。
[关键词] 老年妇女；阴道流血；宫腔镜；病因
, http://www.100md.com
[中图分类号] R737.3 [文献标识码] C [文章编号] 1673-7210(2012)07(b)-0161-03
The feasibility and security research on the cause of abnormal vaginal bleeding in older women diagnosed by hysteroscopy
CAO Dongping
Department of Obstetrics and Gynecology, the Center Hospital of Xiangtan City, Hu′nan Province, Xiangtan 411100, China
[Abstract] Objective To explore the application value of hysteroscopy in the cause and treatment of vaginal bleeding in older women diagnosed by hysteroscopy. Methods 120 cases of older women patients with vaginal bleeding in our hospital from October 2008 to December 2011 were given hysteroscopy and pathologic diagnosis. 120 cases of women childbearing age with vaginal bleeding in the same period were selected as control group, and they were given hysteroscopy treatment too. The cause of vaginal bleeding was compared and analyzed. Results The patients all completed hysteroscopy, operating time and bleeding of two groups were no significantly different (P > 0.05), but the heart rate of elderly women decreased by more than the control group in hysteroscopy, the difference was statistically significant (P < 0.05). The rate of endometrial polyps, atrophic endometritis and endometrial cancer were significantly higher than that of childbearing age women, the difference was statistically significant (P < 0.05 or P < 0.01), while the rate of submucous uterine fibroids, intrauterine adhesions, uterine membrane atypical hyperplasia incidence were significantly lower than women of childbearing age, the difference was statistically significant (P < 0.05 or P < 0.01). Conclusion Hysteroscopy for elderly patients with vaginal bleeding, can clear causes of bleeding as early as possible, at the same time for examination and treatment, the accuracy is superior to the traditional B-ultrasound, it is worthy of application.
, 百拇医药
[Key words] Elderly women; Vaginal bleeding; Hysteroscopy; Cause
随着我国老年人口的增加，老年妇女绝经后阴道出血有增加的趋势。传统的B超检查仅能从影像方面判断，无组织依据，而诊断性刮宫操作的盲目性太大，无法有效地选取病变的组织，而且漏诊的可能性较大。宫腔镜不仅能确定病灶存在的部位、大小、外观和范围，且能对病灶表面的组织结构进行细致的观察，并在直视下取材或定位刮宫，以直观、准确成为妇科出血性疾病和宫内病变的首选检查方法[1]。尤其是对子宫内膜癌的诊断较传统的诊断方法较高。但宫腔镜是一种侵入操作，对老年患者进行宫内检查及诊刮的难度及风险较大。本文探讨宫腔镜在老年妇女阴道流血患者病因检查中的应用，现报道如下：, 百拇医药(曹冬平)
[关键词] 老年妇女；阴道流血；宫腔镜；病因
, http://www.100md.com
[中图分类号] R737.3 [文献标识码] C [文章编号] 1673-7210(2012)07(b)-0161-03
The feasibility and security research on the cause of abnormal vaginal bleeding in older women diagnosed by hysteroscopy
CAO Dongping
Department of Obstetrics and Gynecology, the Center Hospital of Xiangtan City, Hu′nan Province, Xiangtan 411100, China
[Abstract] Objective To explore the application value of hysteroscopy in the cause and treatment of vaginal bleeding in older women diagnosed by hysteroscopy. Methods 120 cases of older women patients with vaginal bleeding in our hospital from October 2008 to December 2011 were given hysteroscopy and pathologic diagnosis. 120 cases of women childbearing age with vaginal bleeding in the same period were selected as control group, and they were given hysteroscopy treatment too. The cause of vaginal bleeding was compared and analyzed. Results The patients all completed hysteroscopy, operating time and bleeding of two groups were no significantly different (P > 0.05), but the heart rate of elderly women decreased by more than the control group in hysteroscopy, the difference was statistically significant (P < 0.05). The rate of endometrial polyps, atrophic endometritis and endometrial cancer were significantly higher than that of childbearing age women, the difference was statistically significant (P < 0.05 or P < 0.01), while the rate of submucous uterine fibroids, intrauterine adhesions, uterine membrane atypical hyperplasia incidence were significantly lower than women of childbearing age, the difference was statistically significant (P < 0.05 or P < 0.01). Conclusion Hysteroscopy for elderly patients with vaginal bleeding, can clear causes of bleeding as early as possible, at the same time for examination and treatment, the accuracy is superior to the traditional B-ultrasound, it is worthy of application.
, 百拇医药
[Key words] Elderly women; Vaginal bleeding; Hysteroscopy; Cause
随着我国老年人口的增加，老年妇女绝经后阴道出血有增加的趋势。传统的B超检查仅能从影像方面判断，无组织依据，而诊断性刮宫操作的盲目性太大，无法有效地选取病变的组织，而且漏诊的可能性较大。宫腔镜不仅能确定病灶存在的部位、大小、外观和范围，且能对病灶表面的组织结构进行细致的观察，并在直视下取材或定位刮宫，以直观、准确成为妇科出血性疾病和宫内病变的首选检查方法[1]。尤其是对子宫内膜癌的诊断较传统的诊断方法较高。但宫腔镜是一种侵入操作，对老年患者进行宫内检查及诊刮的难度及风险较大。本文探讨宫腔镜在老年妇女阴道流血患者病因检查中的应用，现报道如下：, 百拇医药(曹冬平)