摘要
目的：分析阴道超声在绝经后阴道出血的诊断价值。方法对89例绝经后阴道出血的患者采用经阴道超声诊断，统计子宫内膜厚度与病理检查结果。结果89例患者中， B 超诊断子宫内膜厚度〈5 mm 者32例，超声显示内膜较薄，回声均匀；子宫内膜厚度（5-10） mm 者49例，超声显示内膜增厚、回声欠均匀，部分患者可见小囊腔病变，行刮诊确诊；子宫内膜厚度〉10 mm 者8例，超声表明内膜明显增厚，且呈现不均匀高回声，子宫内膜形态不规则，行刮诊确诊。主要诊断结果为子宫内膜癌（3.37%）、内膜炎性渗出（9.10%）、内膜息肉（9.10%）及宫颈糜烂（58.43%）。其中，子宫并内膜厚度≥10 mm 组子宫内膜癌的发生比例高于子宫内膜厚度为5-10 mm 组，且两组比较差异有统计学意义（P〈0.05）。结论绝经后经阴道出血的致病原因较多，但多数患者均为良性病变。经阴道超声可通过对子宫内膜厚度的判断并结合病理检查确定阴道出血的原因，为子宫内膜病变的筛查提供参考。
Objective To study the value of transvaginal ultrasound diagnosis in menopause vaginal bleeding. Methods 89 ca-ses of patients with postmenopausal vaginal bleeding were diagnosed by transvaginal ultrasound to estimate the endometrial thickness and get the results of pathological examination. Results Among the 89 cases of patients with menopause vaginal bleeding, there were 32 cases, whose endometrial thicknesses were less than 5 mm diagnosed by B ultrasound. Ultrasound showed the endometrial was thin and the echo was homogeneous; there were 49 cases, whose endometrial thicknesses were between 5mm and 10mm. Ultrasound showed the endometrial was thickening and the echo was not so homogeneous. Follicular cavity lesion was seen in some cases, which was diag-nosed by scrape diagnosis; there were 8 cases, whose endometrial thicknesses were more than 10 mm. Ultrasound showed the endome-trial was markedly thickened and the echo was inhomogeneous. Endometrium showed an irregular shape, which was diagnosed by scrape diagnosis. The main diagnostic results were endometrial cancer （3. 37% ）, endometrial inflammatory exudate （9. 10% ）, endo-metrial polyps （9. 10% ） and cervical erosion （58. 43% ）. Among them, the proportion of endometrial cancer in the group whose uter-ine and endometrial thicknesses were more than or equal to 10 mm was higher than that in the group whose endometrial thicknesses were between 5 mm and 10mm. There was significant difference between the two groups （P〈0. 05）. Conclusion There are many reasons for vaginal bleeding after menopause, but benign lesions are seen in most patients. Combined with pathological examination, transvagi-nal ultrasound can determine the thickness of the endometrial biopsy to determine the cause of vaginal bleeding, which can provide a reference for screening endometrial lesions.
出处
《辽宁医学院学报》
CAS
2014年第5期61-63,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
绝经
阴道出血
阴道超声
诊断
menopause
vaginal bleeding
transvaginal ultrasound
diagnosis
