关键词: 绝经后异常子宫出血, 宫腔镜检查, 病理组织学检查

Abstract: Objective To explore the best clinical diagnosis and treatment method of abnormal uterine bleeding after menopause. Methods Sixty two postmenopausal women with abnormal uterine bleeding were analyzed retrospectively,who underwent transvaginal ultrasound, hysteroscopy and / or surgery and histopathology from January 31, 2019 to January 31, 2020. Results In the 62 women diagnosed by hysteroscopy, there were normal endometrium (including atrophic endometrium and proliferative endometrium) in 13 cases, with endometrial thickness less than 10 mm. There were 41 cases of benign uterine lesions, and in the endometrial thickness of <5 mm,5-10 mm and >10 mm, the incidence rate was similar. Endometrial atypical hyperplasia and endometrial carcinoma were 8 cases. With the increase of endometrial thickness, the incidence rate increased gradually. The coincidence rate between hysteroscopic diagnosis and postoperative pathological examination was 91.9%. Conclusion For the women with abnormal uterine bleeding after menopause, hysteroscopy and direct vision biopsy are recommended to make early diagnosis and treatment for intrauterine lesions.

Key words: abnormal uterine bleeding in postmenopausing, hysteroscopy, histopathology examination