【摘要】 目的探讨围绝经期异常子宫出血(AUB)的病理特点。方法以在长垣县人民医院妇科确诊为AUB的患者371例为研究对象,对其临床特点和病理资料进行回顾性分析。结果 371例患者子宫内膜活检的病理类型分布为正常子宫内膜124例(33.42%),内膜良性病变215例(57.96%),慢性子宫内膜炎16例(4.31%),萎缩性子宫内膜11例(2.96%),恶性肿瘤5例(1.35%)。51~55岁年龄段患者患慢性子宫内膜炎、不典型增生及恶性肿瘤的比例分别是10.59%,11.75%和3.53%,均高于40~45岁及46~50岁2个年龄段的患者,差异均有统计学意义(P<0.05)。结论 AUB患者子宫内膜活检的病理类型以正常和良性病变为主,但恶性肿瘤和慢性子宫内膜炎也不容忽视,且二者的发病率呈现出随着年龄增长而升高的趋势。更多还原

【Abstract】 Objective To explore the pathological features of abnormal uterine bleeding(AUB)in peri-menopausal period.Method The study chose 371 cases of AUB patients diagnosed in the Gynecology Department of Changyuan People’s Hospital to conduct a retrospective analysis of the clinical features and pathological data.Results The pathological types of endometrial biopsy of 371 cases are:124cases of normal endometrium(33.42%),215 cases of endometrial benign lesions(57.96%),16 cases of chronic endometritis(4.31%),11 cases of atrophic endometrium(2.96%)and 5cases of malignant tumors(1.35%).The rates of chronic endometritis,atypical hyperplasia and malignant tumors for patients at the age of 51 to 55 were respectively10.59%,11.75%and 3.53%,higher than patients at the age of 40 to 45and 46 to 50,and the differences were statistically significant(P<0.05).Conclusion The Pathological types of endometrial biopsy in AUB patients are mainly normal and benign lesion,however,malignant tumors and chronic endometritis were also found and can’t be ignored,the incidences of these two types increase with patients’age.更多还原