摘要
目的：超声和宫腔镜联合检查诊断绝经后子宫出血的病因。材料与方法：经腹部超声检查测量子宫内膜厚度，超声和宫腔镜联合检查观察子宫腔内病变并在超声监导下诊断性刮宫。结果： ７５例患者中，子宫内膜厚度＞５ｍｍ者５５例，其中子宫内膜息肉、子宫粘膜下肌瘤、以及子宫内膜息肉合并粘膜下肌瘤４３例，子宫内膜癌５例，萎缩子宫内膜７例。子宫内膜厚度＜５ｍｍ者 ２０例，其中子宫内膜息肉 ３例，息肉直径＜ ５ｍｍ，宫颈息肉 ７例，刮宫后子宫内膜厚度＞５ｍｍ者为萎缩的子宫内膜息肉或萎缩的子宫粘膜下肌瘤。结论：超声检查可以作为绝经后子宫出血患者的首选检查方法，超声和宫腔镜联合检查可进一步提高病因诊断。
Purpose: Combining sonography with hysteroscopy is used for diagnosing the lesions of endometrial cavity in women with postmenopausal bleeding. Materials and Methods: Endometrial thickness is measured by abdominal ultrasonography. Simultaneously hysteroscopy was undertaken to observe the lesions of endometrial cavity and diagnostic curettage under the ultrasonogranphic monitoring. Results: The study include 75 women, 55 of them had an endometrial thickness>5mm. Histological diagnosis was endometrial atrophy in 7 cases, polyp and submucous myoma in 43, endometrial cancer in 5.20 of 75 women had an endometrial thickness<5mm. 3 of them had an endomelrial polyp(<5mm), and 7 had cervical polyp. All cases with endometrial thickness>5mm after curettage were caused by atrophic endometrial polyp or submucous myoma. Conclusion: This study shows that ultrasonography may be used as the first diagnostic step and combining with hysteroscopy improves the diagnostic accuracy in postrnenopausal bleeding.
出处
《中国医学影像学杂志》
CSCD
2000年第1期30-31,共2页
Chinese Journal of Medical Imaging
