Clinical analysis of hydrometra in the elderly women / 中华老年医学杂志

ABSTRACT

Objective To investigate ultrasonographic features,clinical and histopathologic characteristics of hydrometra in the elderly women.Methods Hysteroscopy endometrial biopsy,dilation and curettage (D&C) and Tao Brush were selectively performed for the endometrial cytologic and histopathologic diagnosis according to the depth of the hydrometra investigated by transvaginal sonography,endometrial thickness and high-risk factors of carcinoma of endometrium in 72 elderly women with hydrometra.Results Among 72 elderly women with hydrometra,9 cases (12.5％) were examined by hysteroscopy,51 cases (70.8％) by D&C and 12 cases (16.7％) by endometrial cytology along with D&C.Histopathologic examination revealed that there were 7 (9.72％) cases with endometrial carcinoma,2 cases (2.8％) with atypical endometrial hyperplasia,6 cases (5.6％) with endometrial benign lesion,14 cases(19.4％)with pyometra and the other 43 cases (59.7％) with normal and simple hydrometra.Conclusions Transvaginal sonography in combination with endometrial cytology are beneficial for screening of endometrial disorders or for drainage of hydrometra in elderly women,decreasing invasive examinations such as D&C.