超声观察绝经后子宫内膜的临床意义

The Observation of Postmenopausal Endometrium by Ultrasonography and its Clinical Significance

目的：探讨超声观察绝经后子宫内膜的临床意义。材料与方法：超声观察自１９９０年１月以来就诊的７８例绝经后妇女子宫内膜的声像图特征，与诊刮病理结果对照。，子宫内膜声像图分为四型，分析其与病理结果的关系。结果：超声图像为Ⅰ、Ⅱ型的（内膜厚度＜５ｍｍ）５５例，病理全部证实为萎缩的子宫内膜，超声图像为Ⅲ、Ⅳ型的（内膜厚度＞５ｍｍ）２３例，２例为萎缩的子宫内膜，１０例为子宫内膜息肉，５例为子宫内膜增生，６例为子宫内膜腺癌。结论：声像图呈Ⅰ、Ⅱ型提示绝经后萎缩的子宫内膜，Ⅲ。

Purpose: To observe the ultrasonographic features of the postmenopausal endometrium and to compare it with pathological examination by curettage. Materials and Methods: Seventy eight postmenopausal women received ultrasonic examination. The ultrasonographic features of endometrium could be catagoriged into four kinds. The relationship between the ultrasonography and the pathological results was analysed. Results: In 55 cases of ultrasonographic type Ⅰand Ⅱ (thickness of endometrium<5mm) endonetrium shrinkage were confirmed by pathological examination. Of 23 cases of ultrasonography type Ⅲ and Ⅳ (thickness of endometrium>5mm), 2 cases were diagnosed as endometrium shrinkage, 10 cases as endometrium polyp, 5 cases as endometrium proliferation and 6 cases as endometrium adenocarcinoma. Conclusions: Ultrasonographic type Ⅰ and Ⅱ indicated postmenopausal endometrium shrinkage. Type Ⅲ and Ⅳ reflected the endometrium thickness in various conditions.