绝经后子宫内膜增厚的诊疗进展
摘要
近年来,随着人们健康意识的提高,超声检查的普及,超声检查发现子宫内膜增厚的检出率升高,绝经后子宫内膜增厚与子宫内膜癌关系密切,目前宫腔镜联合诊断性刮宫是绝经后子宫内膜增厚患者的主要诊断方式。要重视绝经后子宫内膜增厚的诊断,选择合适的子宫内膜厚度为界值进行宫腔操作,减轻患者的痛苦和减少医疗资源的浪费。
引文
[1]苏涛,卞寿芳,胡士磬.绝经后无症状子宫内膜增厚患者子宫内膜病变的临床研究[J].上海交通大学学报(医学版),2017,37(02):221-224.
[2]聂明月,张佟,张博,叶红.绝经前及绝经后子宫内膜息肉的临床分析[J].北京医学,2017,39(11):1107-1110.
[3]史玉爽,易清华,蔡婵艳,等.经阴道超声对绝经后子宫内膜息肉的诊断价值[J].长江大学学报(自科版),2015,12(12):46-47+50.
[4]Jokubkiene L,Sladkevicius P, Valentin L.Transvaginal ultrasound examination of the endometrium in postmenopausal women without vaginal bleeding[J].Ultrasound Obstet Gynecol,2016,48(3):390-396.
[5]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.
[6]商敏,郝增平.无出血绝经后女性子宫内膜增厚的临床意义初探[J].中国妇产科临床杂志,2017,18(05):425-427.
[7]商敏,董旭.557例超声子宫内膜异常的无症状绝经后女性宫腔镜检查及病理分析[J].中国医刊,2017,52(10):83-87.
[8]Ian Jacobs,Aleksandra Gentry-Maharaj.Sensitivity of transvaginal ultrasound screening for endometrial cancer in postmenopausal women:a case-control study within the UKCTOCS cohort[J]. Lancet Oncology,2011,12(1).
[9]American College of Obstetricians and Gynecologists.ACOG committee opinion No.440:the role of transvaginal ultrasonography in the evaluation of postmenopausal bleeding[J].Obstet Gynecol,2009,114(2Pt 1):409-411.
[10]Practice Bulletin No. 149:Endometrial cancer[J]. Obstet Gynecol, 2015, 125(4):1006-1026.
[11]马西文,梁晓红.1029例绝经期异常子宫出血病例分析[J].解放军医学院学报,2018,39(09):769-771+799.
[12]Van den Bosch T,Ameye L,Van Schoubroeck D,et al.Intra—cavitary uterine pathology in women with abnormal uterine bleeding:a prospective study of 1 220 women[J].Facts Views Vis Obgyn,2015,7(1):17-24.
[13]吕斯迹,冯令达,殷怡华.绝经后子宫内膜增厚349例临床分析[J].同济大学学报(医学版),2015,36(05):52-56.
[14]GoldsteinSR.Modemevaluationoftheendometrium[J].Obstet Gynecol,2010,116:168-176.
[15]杨明珠,李亚军,王文素.绝经后子宫内膜增厚人群子宫内膜癌相关因素探讨[J].中日友好医院学报,2015,29(03):166-168+172.
[16]宋力雯,吴帆,秦锦龙,等.宫腔镜在绝经期子宫内膜增厚诊疗中的价值[J].中国微创外科杂志,2011,11(01):50-53.
[17]张春晓,綦慧娟,陈小辉,等.小剂量醋酸甲羟孕酮片对绝经后子宫内膜增厚的诊断性治疗应用价值探讨[J].中国农村卫生,2018(17):54+53.
[18]Canadian Cancer Society/National Cancer Institute of Canada. Canadian Cancer Statistics 2008[C]. Toronto:Canadian Cancer Society, 2008.
[2]聂明月,张佟,张博,叶红.绝经前及绝经后子宫内膜息肉的临床分析[J].北京医学,2017,39(11):1107-1110.
[3]史玉爽,易清华,蔡婵艳,等.经阴道超声对绝经后子宫内膜息肉的诊断价值[J].长江大学学报(自科版),2015,12(12):46-47+50.
[4]Jokubkiene L,Sladkevicius P, Valentin L.Transvaginal ultrasound examination of the endometrium in postmenopausal women without vaginal bleeding[J].Ultrasound Obstet Gynecol,2016,48(3):390-396.
[5]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.
[6]商敏,郝增平.无出血绝经后女性子宫内膜增厚的临床意义初探[J].中国妇产科临床杂志,2017,18(05):425-427.
[7]商敏,董旭.557例超声子宫内膜异常的无症状绝经后女性宫腔镜检查及病理分析[J].中国医刊,2017,52(10):83-87.
[8]Ian Jacobs,Aleksandra Gentry-Maharaj.Sensitivity of transvaginal ultrasound screening for endometrial cancer in postmenopausal women:a case-control study within the UKCTOCS cohort[J]. Lancet Oncology,2011,12(1).
[9]American College of Obstetricians and Gynecologists.ACOG committee opinion No.440:the role of transvaginal ultrasonography in the evaluation of postmenopausal bleeding[J].Obstet Gynecol,2009,114(2Pt 1):409-411.
[10]Practice Bulletin No. 149:Endometrial cancer[J]. Obstet Gynecol, 2015, 125(4):1006-1026.
[11]马西文,梁晓红.1029例绝经期异常子宫出血病例分析[J].解放军医学院学报,2018,39(09):769-771+799.
[12]Van den Bosch T,Ameye L,Van Schoubroeck D,et al.Intra—cavitary uterine pathology in women with abnormal uterine bleeding:a prospective study of 1 220 women[J].Facts Views Vis Obgyn,2015,7(1):17-24.
[13]吕斯迹,冯令达,殷怡华.绝经后子宫内膜增厚349例临床分析[J].同济大学学报(医学版),2015,36(05):52-56.
[14]GoldsteinSR.Modemevaluationoftheendometrium[J].Obstet Gynecol,2010,116:168-176.
[15]杨明珠,李亚军,王文素.绝经后子宫内膜增厚人群子宫内膜癌相关因素探讨[J].中日友好医院学报,2015,29(03):166-168+172.
[16]宋力雯,吴帆,秦锦龙,等.宫腔镜在绝经期子宫内膜增厚诊疗中的价值[J].中国微创外科杂志,2011,11(01):50-53.
[17]张春晓,綦慧娟,陈小辉,等.小剂量醋酸甲羟孕酮片对绝经后子宫内膜增厚的诊断性治疗应用价值探讨[J].中国农村卫生,2018(17):54+53.
[18]Canadian Cancer Society/National Cancer Institute of Canada. Canadian Cancer Statistics 2008[C]. Toronto:Canadian Cancer Society, 2008.