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经阴道超声在绝经后子宫内膜病变中的诊断价值 被引量:2

The diagnostic value of transvaginal ultrasonography for endometrial lesions in postmenopausal women
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摘要 目的:探讨经阴道超声对绝经后子宫内膜病变的诊断价值。方法:采用经阴道彩色多普勒技术观察96例绝经后出血患者的子宫内膜厚度、形态及血流参数。结果:在内膜厚度、血管密度及阻力指数方面,子宫内膜癌、良性病变(各种炎症、子宫内膜增生或不典型增生、子宫内膜息肉)及非器质性改变(增生期子宫内膜、分泌期子宫内膜、萎缩性子宫内膜)两两比较差异均有统计学意义(P<0.05)。内膜厚度与血管密度具有相关性(r=0.52,P<0.05)。结论:经阴道彩色多普勒技术检测患者的内膜厚度、回声情况,血管密度、阻力指数等可准确预测绝经后出血患者子宫内膜的病理变化。 Objective. To study the value of endometrial lesions in women with postmenopausal bleeding by transvaginal color Doppler ultrasonography. Methods: Ninety-six women with postmenopausal bleeding were included and finally proved by hysteroscopy or operation. The width,morphology and blood flow of endometrium were observed. Results: In endomembrane thickness, blood vessel density and resistance index, discrepancy among them has statistical significance with nonorganic disease, benign lesion and endometrial cancer. There was correlation between endomembrane thickness and blood vessel density. Conclusions: Transvaginal color Doppler ultrasonography can predict pathological change of endometrium in women with postmenopausal bleeding.
出处 《新疆医科大学学报》 CAS 2008年第10期1430-1431,1434,共3页 Journal of Xinjiang Medical University
关键词 经阴道彩色多普勒 绝经后 子宫内膜 transvaginal ultrasonography postmenopausel endometrial lesions
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参考文献3

  • 1Stein M,Edinger B,Cohen B,et al. Using color doppler ultra-sound to visualize endometrial vascularity in premenopausal and postmenopausal patients[J]. Women's imaging, 2001, 3 (3):94-98.
  • 2Van D, Dijkhuizen F, Kruitwagen F,et al. Accuracy of trans-vaginal ultrasonography in diabetic or obese women with postmenopausal bleeding[J]. Obstet Gynecol , 2004,104 (3) : 571- 578.
  • 3Guven MA, Pata O, Bakaris S, et al. Postmenopausal endom etrial cancer screening: is there a correlation between trans-vaginal sonographic measurement of endometrial thickness and body mass index? [J]. Eur J Gynaecol Oncol, 2004,25:373- 375.

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