妇产超声在绝经后阴道出血患者诊疗中的临床应用

Clinical Application of Obstetrics and Gynecology Ultrasound in Diagnosis and Treatment of Postmenopausal Vaginal Bleeding

目的对妇产超声在绝经后阴道出血患者诊疗中的应用价值进行分析探讨。方法以2018年1月—2019年12月在该院接受治疗的122例绝经后阴道出血患者作为研究对象,对患者均行妇产超声检查,以病理学检查结果为对照,分析妇产超声检查的诊断符合率。结果122例患者超声诊断子宫内膜病变类型符合率为96.72%,病理学诊断率为100.00%,两种检测方法诊断率差异无统计学意义(χ^(2)=0.103,P>0.05)。122例患者中,良性81例,恶性41例。恶性组的子宫内膜厚度、宫腔容积及子宫动脉PS显著高于良性组(t=11.904、6.715、15.268,P<0.05)。结论对绝经后阴道出血患者行妇产超声诊断,能够对子宫内膜病变类型作出有效诊断,为临床诊断及治疗提供提供可靠依据。

Objective To analyze the application value of obstetrics and gynecology ultrasound in the diagnosis and treatment of postmenopausal vaginal bleeding.Methods 122 cases of postmenopausal vaginal bleeding patients who were treated in the hospital from January 2018 to December 2019 were taken as the research objects.All patients underwent gynecological ultrasound examinations,and the pathological examination results were used as controls to analyze gynecological ultrasound diagnosis coincidence rate.Results The coincidence rate of 122 patients with ultrasound diagnosis of endometrial lesions was 96.72%,and the pathological diagnosis rate was 100.00%.There was no statistically significant difference in the diagnosis rate of the two detection methods(χ^(2)=0.103,P>0.05).Among 122 patients,81 were benign and 41 were malignant.The endometrial thickness,uterine cavity volume and uterine artery PS of the malignant group were significantly higher than those of the benign group(t=11.904,6.715,15.268,P<0.05).Conclusion Obstetrics and gynecology ultrasound diagnosis for postmenopausal vaginal bleeding patients can effectively diagnose the types of endometrial lesions,provide reliable basis for clinical diagnosis and treatment.