摘要
目的 评估对绝经后阴道出血患者应用B超检测子宫内膜厚度 ,以减少不必要的诊断性刮宫术的价值。方法 对 5 2例绝经后阴道出血患者 ,于诊刮术前行B超检查 ,测量子宫内膜厚度 ,然后诊刮 ,诊刮标本送病理检查。结果 B超检测发现 ,有 41例绝经后阴道出血患者的子宫内膜≥ 5mm ,其中 2 4例 (5 8.6 % )经病理确诊为子宫内膜癌 ;而 11例子宫内膜 <5mm者 ,病理检查未发现一例子宫内膜癌 (P <0 .0 1)。结论 阴道B超检测子宫内膜无创无痛 ,可作为绝经后出血患者进行诊刮术前的一种筛选手段。当超声检测内膜厚度 <5mm时 ,再结合其它临床检查可考虑避免诊刮。当内膜厚度≥ 5mm 。
Objective To assess the implication of endometrial thickness by transvaginal ultrasonography in diagnosis of patients with postmenopausal bleeding, to reduce unnecessary curettage. Methods High resolution transvaginal ultrasonographic examination was preformed before uterine curettage. The thickness of endometrial measured by sonogram was compared with endometrial histological findings. Results Twenty four Cases (58.6%) of 41 cases with endometrial thickness of ≥5 mm, were endometrial cancer. In constrast, none of 11 patients with endometrial thickness <5mm, was endometrial cancer ( P <0.01).Conclusion Transvaginal ultrasonography may be used as a screening procedure in diagnosing patients with postmenopausal bleeding. Diagnostic uterine curettage may be avoided in patients who had endometrial thickness<5 mm.
出处
《上海医学》
CAS
CSCD
北大核心
2001年第8期475-477,共3页
Shanghai Medical Journal
