摘要
目的 为提高超声对子宫内膜病变的诊断价值。方法 对４３ 例子宫不规则出血患者进行宫腔声学造影研究，并与诊刮结果对照。结果 造影前宫腔处于闭合状态，前后壁宫内膜贴近，有些宫腔内异常不易发现。宫腔扩开后以水作透声窗对内膜病变的显示程度明显提高。随着宫腔充盈程度的不同，病灶从显示不满意到清楚显示，并对其大小、形态、起源等可准确判断。结论 宫腔声学造影能直观显示内膜病变。诊刮与宫腔造影结合起来，则会提高诊断的准确性。但如确定内膜的功能状态，必须参照病史。
Objective To improve the value of diagnosing endometrial lesions by ultrasonography.Methods Transvaginal hysterosonography(HSG) was performed on 43 patients with irregular uterine bleeding and the results were compared with those of dilatation and curettage (D&C).Results The uterine cavity was closed without HSG,some abnormality was difficult to be found.With HSG,the endometrial lesions were manifested more clearly.In pace with the growth of filling of uterine cavity,the lesions were manifested from unsatisfiedly to clearly.The factors which affect distinction of all kinds pathological changes by ultrasonography were also analysed.Conclusions The advantage of HSG over TVS is visual evaluation of the endometrial lesions.I f D&C is combined with HSG,the diagnosing accuracy will rise.But determination of the functional condition of the endometrium must refer to the medical history.
出处
《中华超声影像学杂志》
CSCD
2000年第1期47-48,共2页
Chinese Journal of Ultrasonography
关键词
超声检查
经阴道
子宫不规则出血
诊断
Ultraionography,transvaginal
Hysterosalpingography
Metrorrhagia
