宫腔镜在绝经后妇女子宫内膜厚度与相关疾病关系研究中的应用

Abstract
Figure/Table
References (19)
Related Citation (15)

Download: PDF (0 KB) HTML (37 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the diagnostic value of hysteroscopy on the relationship between endometrial thickness and endometrial diseases in postmenopausal women.Methods A total of 1048 postmenopausal women with local registration in Liantang Town of Nanchang County from October to December 2019 were selected for vaginal ultrasound to check the endometrial thickness and divided into two groups according to vaginal ultrasound results.Postmenopausal women with endometrium ＜5 mm and endometrium ≥5 mm were further subjected to hysteroscopy and analyzed with the endometrial pathology results,and the differences between the general condition of women and the incidence of endometrial diseases in postmenopausal women with endometrium ＜5 mm and endometrium ≥5 mm were analyzed to explore the relationship between endometrial thickness and endometrial lesions.Results The age,number of pregnancy,menopausal time,body mass index,and intimal thickness were compared between two groups,the differences were statistically significant (P＜0.05).The incidence rates of simple or complex intimal hyperplasia,atypical intimal hyperplasia,chronic non-specific Heterosexual endometritis,endometrial polyps,submucosal fibroids,endometrial epithelioma formation or endometrial cancer were compared between two groups,the differences were statistically significant (P＜0.05).Diagnostic rates of simple or complex endometrial hyperplasia,atypical endometrial hyperplasia,chronic nonspecific endometritis,endometrial polyps,submucosal fibroids,endometrial epithelioma formation or endometrial cancer in hysteroscope were compared with pathological diagnosis,their coincidence rates were 100.00%,85.71%,96.15%,96.56%,80.00%,75.00%,respectively.Conclusion The incidence of benign and malignant endometrial diseases in women with endometrium ≥5 mm is increased.The coincidence rate of hysteroscopy diagnosis and pathlogical diagnosis is more than 75%,which can be used as a screening method for endometrial diseases in postmenopausal women.

Key words： Postmenopausal women Transvaginal ultrasound Hysteroscopy；Endometrial thickness Endometrial disease

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HUANG Shu-hua

Cite this article:

HUANG Shu-hua. Application of hysteroscopy in the study of the relationship between endometrial thickness and related diseases in postmenopausal women[J]. 中国当代医药, 2021, 28(5): 103-107.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I5/103

[8]	王田华，张慧英.绝经后子宫内膜增厚的研究进展[J].国际生殖健康/计划生育杂志，2017，36（4）：349-352.
[10]	库娜.绝经后妇女子宫内膜厚度与子宫内膜病变的关系的META 分析[D].南宁：广西医科大学，2014.
[1]	Schmidt T，Breidenbach M，Nawroth F，et al.Hysteroscopy for asymptomatic postmenopausal women with sonographically thickened endometrium[J].Maturitas，2009，62（2）：176-178.
[2]	程建英，王新忠，左绪磊.宫腔镜联合超声检查诊断149例绝经后妇女宫内病变临床分析[J].中国妇幼保健，2012，14（27）：2214-2216
[3]	张俘，刘芸，金俘.绝经期妇女子宫内膜病变筛查中子宫内膜厚度最佳临界值的研究[J].中国医刊，2018，53（11）：1261-1265.
[5]	Gan DE，Jawan RA，Moy FM.Concordance between hysteroscopic impression and endometrial histopathological diagnosis[J].Prev Med，2013，57 Supp：S21-23.
[4]	Korkmazer E，Solak N，Ustünyurt E.Hysteroscopic assessment of postmenopausal endometrial thickening[J].Prz Menopauzalny，2014，13（6）：330-333.
[6]	Loiacono RM，Trojano G，Del Gaudio N，et al.Hysteroscopy as a valid tool for endometrial pathology in patients with postmenopausal bleeding or asymptomatic patients with a thickened endometrium：hy steroscopic and histological results[J].Gynecol Obstet Invest，2015，79（3）：210-216.
[7]	Lee DO，Jung MH，Kim HY.Prospective comparison of biopsy results from curettage and hysteroscopy in postmenopausal uterine bleedin g [J].J Obstet Gynaecol Res，2011，37（10）：1423-1426.
[9]	Spicer JM，Siebert I，Kruger TF.Postmenopausal bleeding：a diagnostic approach for both private and public sectors[J].Gynecol Obstet Invest，2006，61（3）：174-178.
[11]	Elfayomy AK，Habib FA，Elkablawy MA.Role of hysteroscopy in the detection of endometrial pathologies in women presenting with postmenopausal bleeding and thickened endometrium[J].Arch Gynecol Obstet，2012，285（3）：839-843.
[12]	Hartman A，Wolfman W，Nayot D，et al.Endometrial thickness in 1，500 asymptomatic postmenopausal women not on hormone replacement therapy[J].Gynecol Obstet Invest，2013，75（3）：191-195.
[13]	Wit AC，Vleugels MP，Kruif JH.Diagnostic hysteroscopy：a valuable diagnostic tool in the diagnosis of structural intra-cavital pathology and endometrial hyperplasia or carcinoma Six years of experience with non-clinical diagnostic hysteroscopy[J].Eur J Obstet Gynecol Reprod Biol，2003，110（1）：79-82.
[14]	Butureanu SA，Socolov RM，Pricop F，et al.Diagnostic hysteroscopy in endometrial hyperplasia[J].Gynecol Obstet Invest，2005，59（2）：59-61
[15]	Sanderson PA，Critchley HOD，Williams ARW，et al.New concepts for an old problem：the diagnosis of endometrial hyperplasia[J].Hum Reprod Update，2017，23（2）：232-254.
[16]	Breijer MC，Peeters JA，Opmeer BC，et al.Capacity of endometrial thickness measurement to diagnose endometrial carcinoma in asymptomatic postmenopausal women：a systematic review and meta-analysis[J].Ultrasound Obstet Gynecol，2012，40（6）：621-629.
[17]	Smith-Bindman R，Weiss E，Feldstein V.How thick is too thick?When endometrial thickness should prompt biopsy in postmenopausal women without vaginal bleeding[J].Ultrasound Obstet Gynecol，2004，24（5）：558-565.
[18]	Giannella L，Mfuta K，Setti T，et al.Diagnostic accuracy of endometrial thickness for the detection of intra-uterine pathologies and appropriateness of performed hysteroscopies among asymptomatic postmenopausal women[J].Eur J Obstet Gynecol Reprod Biol，2014，177：29-33.
[19]	Li Z，Li L.Risk of malignancies among asymptomatic postmenopausal women with thickened endometrium[J].Medicine（Baltimore），2019，98（6）：e14464.