围绝经期功能失调性子宫出血患者子宫内膜超声影像学特点及病理的相关分析

Correlation analysis of endometrium ultrasound image and pathologic diagnosis in peri-menopause patients with functional uterine bleeding

目的探讨围绝经期功能失调性子宫出血的子宫内膜超声影像学的特点与临床病理关系。方法对2006年10月至2008年10月在首都医科大学宣武医院就诊的160例功能失调性子宫出血(简称功血)患者经彩色多普勒超声检测后当日或次日进行诊断性刮宫,病理结果为:①增生期子宫内膜;②单纯型增生;③复杂型增生;④不典型增生,对照分析各种病理结果与子宫内膜厚度、超声影像学特点的相互关系。结果4种病理结果的子宫内膜厚度、平均出血时间的比较差异有统计学意义(P<0.01);复杂型增生、不典型增生的平均出血时间长;超声影像学特点增生期和分泌期、单纯型增生、复杂型增生、不典型增生有不同的变化。结论彩色多普勒超声检测子宫内膜可为围绝经期子宫异常出血的有效辅助检查手段,在围绝经期功血的保守治疗中可作为随诊观察的指标。

Objective To investigate the correlation between the ultrasonographic and pathologic characterisitics of endometrium in peri- menopause patients with dysfunctional uterine bleeding （DUB）.Methods 160 patients with DUB who were treated in Xuanwu Hospital Capital Medical University from October 2006 to October 2008 were recruited in this study. Data of clinical features, color Doppler ultrasound image and pathologic diagnosis were analyzed. According to the pathologic diagnosis, patients were divided into four groups： proliferative phase, simple hyperplasia, complex hyperplasia and atypical hyperplasia group.Results The bleeding time and the endometrium thickness in complex and atypical hyperplasia groups were significant longer than that in the other two groups（P〈0.01）. The ultrasonographic image of endometrium in each group had its own characteristics.Conclusion Color Doppler ultrasound is an efficient auxiliary examine method in diagnosing endometrial hyperplasia and is useful for patients＇ follow-up.