中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
13期
72-72,74
,共2页
绝经%宫腔积液%腹腔镜
絕經%宮腔積液%腹腔鏡
절경%궁강적액%복강경
Menopause%Palace cavity effusion%Laparoscope
目的：总结绝经后妇女宫腔积液的病因和诊治经验。方法：2012年11月-2013年12月收治宫腔积液患者55例，年龄50～72岁，平均59.3岁，均经宫颈脱落细胞学排除宫颈病变，患者主要表现为下腹胀痛或隐痛、阴道分泌物增多，色黄或乳白色、部分伴异味，白带增多或点滴流血伴外阴瘙痒，颈管口及阴道内有黄绿色脓性黏稠异味分泌物。阴道超声检查均诊断宫腔积液。其中23例提示子宫肌瘤，22例提示直肠子宫陷凹积液。宫腔镜检查发现宫腔形态规则、光滑、无明显内膜组织。所有患者均采用腹腔镜进行治疗。结果：55例绝经后妇女宫腔积液患者宫腔透明黏液12例(21.8%)，宫腔点状出血15例(27.3%)，阴道炎16例(29.1%)，另外12例腹腔镜下未见异常。治愈53例，治愈率96.4%，好转2例，总有效率100.0%。结论：对绝经后患者发生子宫腔积液应给予重视，腹腔镜在诊断和治疗中发挥了重要作用。
目的：總結絕經後婦女宮腔積液的病因和診治經驗。方法：2012年11月-2013年12月收治宮腔積液患者55例，年齡50～72歲，平均59.3歲，均經宮頸脫落細胞學排除宮頸病變，患者主要錶現為下腹脹痛或隱痛、陰道分泌物增多，色黃或乳白色、部分伴異味，白帶增多或點滴流血伴外陰瘙癢，頸管口及陰道內有黃綠色膿性黏稠異味分泌物。陰道超聲檢查均診斷宮腔積液。其中23例提示子宮肌瘤，22例提示直腸子宮陷凹積液。宮腔鏡檢查髮現宮腔形態規則、光滑、無明顯內膜組織。所有患者均採用腹腔鏡進行治療。結果：55例絕經後婦女宮腔積液患者宮腔透明黏液12例(21.8%)，宮腔點狀齣血15例(27.3%)，陰道炎16例(29.1%)，另外12例腹腔鏡下未見異常。治愈53例，治愈率96.4%，好轉2例，總有效率100.0%。結論：對絕經後患者髮生子宮腔積液應給予重視，腹腔鏡在診斷和治療中髮揮瞭重要作用。
목적：총결절경후부녀궁강적액적병인화진치경험。방법：2012년11월-2013년12월수치궁강적액환자55례，년령50～72세，평균59.3세，균경궁경탈락세포학배제궁경병변，환자주요표현위하복창통혹은통、음도분비물증다，색황혹유백색、부분반이미，백대증다혹점적류혈반외음소양，경관구급음도내유황록색농성점주이미분비물。음도초성검사균진단궁강적액。기중23례제시자궁기류，22례제시직장자궁함요적액。궁강경검사발현궁강형태규칙、광활、무명현내막조직。소유환자균채용복강경진행치료。결과：55례절경후부녀궁강적액환자궁강투명점액12례(21.8%)，궁강점상출혈15례(27.3%)，음도염16례(29.1%)，령외12례복강경하미견이상。치유53례，치유솔96.4%，호전2례，총유효솔100.0%。결론：대절경후환자발생자궁강적액응급여중시，복강경재진단화치료중발휘료중요작용。
Objective:To summarize the etiology and experience in diagnosis and treatment of postmenopausal women uterine cavity effusion.Methods:We selected 55 cases of uterine cavity effusion patients from November 2012 to December 2013.The age was 50 to 72 years old,and the average age was 59.3 years old.The patients with cervical lesions were excluded by cervical cytology.The main manifestations were abdominal pain or dull pain,vaginal secretions increase,yellow or milky white,part with peculiar smell,Leucorrhoea grow in quantity or spotting bleeding with vulvar itching,Viscous yellow green purulent secretions with peculiar smell at cervical orifice and Endovaginal.These patients were diagnosed for uterine cavity effusion by transvaginal ultrasonography.23 cases were uterine leiomyoma,22 cases were the rectouterine pouch effusion.Hysteroscopy found that uterine cavity shape was regular and smooth,and there was no obvious endometrial tissue.All patients were treated with laparoscopic treatment.Results:In 55 postmenopausal women with uterine cavity effusion patients,12 cases(21.8% )were the palace cavity transparent mucus,15 cases(27.3%)were uterine punctate hemorrhage,16 cases(29.1%)were vaginitis,the other 12 cases showed no abnormalities in laparoscopic.53 cases were cured,and the cure rate was 96.4%.2 cases were improved.The total efficiency was 100%.Conclusion:Postmenopausal patients with hydrops of uterine cavity should be given more attention.The laparoscopic play an important role in the diagnosis and treatment.
