KẾT QUẢ HÚT BUỒNG TỬ CUNG Ở PHỤ NỮ RONG KINH RONG HUYẾT TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objectives: Reviewing the results of uterine aspiration in women with menorrhagia and metrorrhagia at the medical examination department of the National Obstetrics and Gynecology Hospital. Subjects and methods: A description study of 153 patients with menorrhagia and metrorrhagia who underwent examination and uterine aspiration at the examination department of the Central Obstetrics Hospital from September 2022 to June 2023.. Results: The average age is 46.16±7.44, the majority are between 46-55 years old. Histopathological results: endometrium without specific lesion was 36.6%, endometrial hyperplasia was 34,6%. There were 2 cases atypical endometrial hyperplasia, 7 cases endometrial carcinoma. For benign endometrial hyperplasia, progestin treatment after uterine aspiration is highly effective. With no abnormal endometrial lesions and persistent endometrial response to progesterone, most patients are followed up naturally without intervention. Patients with physical injuries are treated radically. Conclusions: The leading cause of menorrhagia and metrorrhagia is endocrine disorders. Benign endometrial hyperplasia is treated with progestin after uterine cavity aspiration. Patients with organic lesions are treated radically.