超声检测绝经后阴道出血子宫内膜病变

Diagnostic Value of Transvaginal Ultrasonography in Endometrial Assessement of Patients with Postmenopausal Bleeding

目的 :探讨绝经后阴道出血妇女应用超声检测子宫内膜病变的价值。方法 :对 132例绝经后阴道出血妇女行阴道超声检查 ,测量其子宫大小及内膜厚度 ,然后行分段诊刮术 ,标本送病理检查。结果 :5 3例子宫内膜厚度≤ 4mm ,其中 5 2例 (98.1% )内膜属生理性改变 ,1例为内膜癌 (1.9% ) ;79例为内膜厚度≥ 5mm ,其中 6 5例 (82 .35 % )内膜病理性改变 ,2 3例为内膜癌 (2 9.1% )。结论 :子宫内膜厚度≤ 4mm者 ,可免于诊刮。

Objective:To investigate the diagnostic value of transvaginal sonogaphy in patients with postmeopausal bleeding.Methods:High resolution transvaginal ultrasonography examination was performed in 132 patients with postmenopausal bleeding. The results of endometrial sonogram were compared with endometrial histological findings.Results:53 cases had endometrial thickness≤4 mm,52 cases of them showed physiological changes conformed by pathological examination.1 cases was endomehial cancer.79 cases who had endometrial thickness ≥5 mm,23 cases of them had endometrical cancer.Conclusion:Uterine curettage may be avoided in patients who had endometrial thickness≤4 mm.