妇科超声检查诊断绝经后阴道出血临床分析

Clinical Analysis of Gynecologic Ultrasound for Diagnosis of Postmenopausal Vaginal Bleeding

目的评价分析绝经后阴道出血患者采用妇科超声检查的诊断价值。方法选取我院72例绝经后阴道出血患者分别进行妇科超声检查以及子宫刮诊,对比分析两种检查方法的诊断结果。结果刮宫病理检查诊断结果表明,子宫内膜炎9例,子宫内膜增生者4例,子宫内膜癌19例,子宫内膜息肉40例,妇科超声检查子宫内膜息肉以及子宫内膜癌的准确率为100%,子宫内膜炎、子宫内膜增生的诊断率和刮宫病理检查诊断并没有差异(P>0.05)。结论绝经后阴道出血患者采用妇科超声检查的准确率较高,可以准确鉴别、诊断出子宫内膜病变类型。

Objective To evaluate the diagnostic value of transvaginal ultrasound in the diagnosis of postmenopausal vaginal bleeding. Methods 72 cases of postmenopausal vaginal bleeding in our hospital were treated with gynecological ultrasound examination as well as the uterine curettage,the diagnosis results of two methods were compared and analyzed. Results Curettage pathological diagnosis results showed endometritis 9 cases,4 cases of endometrial hyperplasia,endometrial cancer,19 cases,40 cases of endometrial polyps,gynecological ultrasound endometrial polyps and endometrial cancer accurate 100%,the diagnosis rate of endometritis,endometrial hyperplasia and curettage pathological diagnosis and no significant difference（P 0.05）. Conclusion The accuracy rate of the patients with postmenopausal vaginal bleeding is higher than that of gynecological ultrasound examination. It can be used to identify and diagnose the type of endometrial lesions,which has a high value in clinical application.