摘要
目的:评估绝经后阴道出血患者应用B超检测子宫内膜,以减少不必要的诊断性刮宫术(诊刮术)的价值。方法:对192例绝经后阴道出血患者,于诊刮术前行B超检查,测量子宫大小及子宫内膜厚度,然后进行分段诊刮术,标本送病理检查。结果:77例内膜厚度≤4mm者中,74例(96.1%)子宫内膜属生理性改变,3例为内膜癌;115例子宫内膜厚度≥5mm者中,92例(80.0%)子宫内膜属病理性改变,其中59例(51.3%)为内膜癌。结论:高分辨阴道B超检测,可作为绝经后出血患者进行诊刮术前的一种筛选手段,当超声检测内膜厚度≤4mm时,可考虑避免诊刮术。
Objective: To assess the value of endometrial transvaginal sonography in diagnosis of patients with postmenopausal bleeding. Methods: High resolution transvaginal ultrasonographic examination was performed in 192 patients with postmenopausal bleeding before fractional uterine curettage. The results of endometrial sonogram were compared with endometrial histological findings.Results: Seventy seven cases had endometrial thickness≤4mm. 74 of them (96.1%) showed physiological changes by pathological examination. Only 3 were endometrial cancer. In contrast, in 115 patients who had endometrial thickness ≥5mm, 59 (51.3%) had endometrial cancer. Conclusion: Transvaginal ultrasonography may be used as a screening procedure in patients with postmenopausal bleeding. Diagnostic uterine curettage may be avoided in patients who had endometrial thickness≤4mm.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1997年第1期31-33,共3页
Chinese Journal of Obstetrics and Gynecology
关键词
绝经后
子宫出血
子宫内膜
超声波诊断
Postmenopausal Uterine hemorrhage Endometrium Ultrasonography