经腹超声检查原发性痛经患者子宫大小和子宫内膜厚度结果分析

Clinical analysis on the transabdominal ultrasound in the detection of uterine size and endometrial thickness in patients with primary dysmenorrheal

目的探讨原发性痛经患者子宫大小和子宫内膜厚度的变化。方法选择2007年8月至2011年8月在煤炭总医院诊断为原发性痛经的未婚青年女性60例为研究对象,作为痛经组,要求其在整个月经周期不服用任何药物;选择同期体检的年龄及月经周期相匹配的未婚青年女性60例为对照组,分别于月经周期第10～12天(子宫内膜增生期)及月经周期第23～26天(子宫内膜分泌期)进行经腹超声检查,分别测量子宫长径、前后径和横径、子宫内膜厚度。结果痛经组的子宫长径较对照组增大,但差异无统计学意义(P>0.05),前后径及横径较对照组明显增大(P<0.05),子宫内膜厚度较对照组变薄(P<0.05)。结论经腹超声检查可以准确的评价痛经患者子宫大小和子宫内膜厚度的变化,可以作为一种客观而又简单实用的方法,为临床医生提供原发性痛经患者子宫的形态学改变。

Objective To investigate the uterine size and endometrial thickness in patients with primary dysmenorrheal by transabdominal ultrasound. Methods Sixty unmarried girls with primary dysmenorrheal admitted in our hospital from Aug. 2007 to Aug. 2011 （the study group） and 60 healthy individuals （the control group） were included in this study. The subjects were examined by transabdominal ultrasound on follicular phase （10th～12th） and luteal phase （23th～26th） of the cycle. Longitudinal, anteroposterior and transverse diameter of uterus and double thickness of the endometrium were measured. Results Longitudinal, anteroposterior and transverse diameter of uterus were larger in the study group than the control group. There was no statistically difference in longitudinal diameter of uterus between the two groups （P〈0.05）. Statistically significant differences were observed in anteroposterior and transverse diameter of uterus between the two groups （P〈0.05）. The thicknesses of the endometrium in patients with primary dysmenorrheal were thinner than those in the control group in both phases of the cycle（P〈0.05）. Conclusion Transabdominal ultrasound can be used to evaluate the changes in primary dysmenorrhea uterine diameters and endometrial thickness.