Abstract：Objective To investigate the clinical features and pathological types of postmenopausal endometrial thickening patients and to analyze the risk of endometrial malignancy.Methods 523 cases of postmenopausal women with endometrial thickening were recruited from January 2017 to August 2018. According to the pathological results of hysteroscopy, the risk of endometrial malignancy was analyzed.Results The pathological diagnosis of 523 postmenopausal endometrial thickening patients included 24 cases of normal endometrium (4.6%), 268 cases of endometrial polyps (51.2%), 44 cases of endometritis (8.4%), 16 cases of submucous myomas (3.1%), 53 cases of intrauterine adhesions (10.1%), 89 cases of benign endometrial hyperplasia (17.0%), 13 cases of atypical endometrial hyperplasia (2.5 %) and 16 cases of endometrial carcinoma (3.1 %).BMI≥25, vaginal bleeding or drainage symptoms, and endometrial thickness≥10 mm were independent risk factors for endometrial malignancy (P<0.05 ).Conclusion Attention should be paid to the high risk factors of endometrial cancer, and it’s necessary to perform hysteroscopy to detect endometrial malignant lesions and to reduce invasive procedures for patients without endometrial lesions, which could reduce the suffering of patients and wasting medical resources.
尹聪, 白文佩. 绝经后子宫内膜增厚患者内膜恶变风险分析[J]. 中国生育健康杂志, 2019, 30(3): 215-217.
YIN Cong,BAI Wenpei. Clinical Characteristics of Endometrial cancer among Postmenopausal Women with Endometrial Thickening. Chinese Journal of Reproductive Health, 2019, 30(3): 215-217.
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