中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
11期
60-60,61
,共2页
绝经%阴道出血%阴道超声%诊断
絕經%陰道齣血%陰道超聲%診斷
절경%음도출혈%음도초성%진단
Menopause%Vaginal bleeding%Transvaginal ultrasound%Diagnosis
目的：分析绝经后阴道出血经阴道超声检查结果，为临床诊断提供参考。方法：对189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、绝经后阴道出血时间及恶性肿瘤发病率的关系。结果：189例患者中，B超诊断子宫内膜厚度>5 mm者33例，其中子宫内膜厚度5~10 mm者19例，≥10 mm者14例。主要诊断结果为子宫内膜癌(2.1%)、内膜炎性渗出(21.0%)、内膜息肉(30.7%)及宫颈糜烂(46.6%)。子宫并内膜厚度≥10 mm组的子宫内膜癌的发生比例高于子宫内膜厚度5~10 mm组，差异有统计学意义(P<0.05)。绝经后阴道出血时间为≥20年组的子宫内膜癌的发生比例高于其他组，差异有统计学意义(P<0.05)。结论：绝经后阴道出血的原因较多，病因较为复杂。经阴道超声诊断可较为准确的判断子宫内膜厚度，为子宫内膜病变的筛查提供科学的指导，具有重要的临床应用价值。
目的：分析絕經後陰道齣血經陰道超聲檢查結果，為臨床診斷提供參攷。方法：對189例絕經後陰道齣血的患者採用經陰道超聲診斷，統計子宮內膜厚度與病理檢查結果、絕經後陰道齣血時間及噁性腫瘤髮病率的關繫。結果：189例患者中，B超診斷子宮內膜厚度>5 mm者33例，其中子宮內膜厚度5~10 mm者19例，≥10 mm者14例。主要診斷結果為子宮內膜癌(2.1%)、內膜炎性滲齣(21.0%)、內膜息肉(30.7%)及宮頸糜爛(46.6%)。子宮併內膜厚度≥10 mm組的子宮內膜癌的髮生比例高于子宮內膜厚度5~10 mm組，差異有統計學意義(P<0.05)。絕經後陰道齣血時間為≥20年組的子宮內膜癌的髮生比例高于其他組，差異有統計學意義(P<0.05)。結論：絕經後陰道齣血的原因較多，病因較為複雜。經陰道超聲診斷可較為準確的判斷子宮內膜厚度，為子宮內膜病變的篩查提供科學的指導，具有重要的臨床應用價值。
목적：분석절경후음도출혈경음도초성검사결과，위림상진단제공삼고。방법：대189례절경후음도출혈적환자채용경음도초성진단，통계자궁내막후도여병리검사결과、절경후음도출혈시간급악성종류발병솔적관계。결과：189례환자중，B초진단자궁내막후도>5 mm자33례，기중자궁내막후도5~10 mm자19례，≥10 mm자14례。주요진단결과위자궁내막암(2.1%)、내막염성삼출(21.0%)、내막식육(30.7%)급궁경미란(46.6%)。자궁병내막후도≥10 mm조적자궁내막암적발생비례고우자궁내막후도5~10 mm조，차이유통계학의의(P<0.05)。절경후음도출혈시간위≥20년조적자궁내막암적발생비례고우기타조，차이유통계학의의(P<0.05)。결론：절경후음도출혈적원인교다，병인교위복잡。경음도초성진단가교위준학적판단자궁내막후도，위자궁내막병변적사사제공과학적지도，구유중요적림상응용개치。
Objective:To analyze the results of transvaginal ultrasound for the diagnosis of postmenopausal vaginal bleeding,in order to provide reference for clinical diagnosis.Method:189 cases of patients with postmenopausal vaginal bleeding were used the transvaginal ultrasound diagnostics,and the relationship between endometrial thickness and pathological findings,the vaginal bleeding after menopause and cancer incidence were analyzed.Result:Among the 189 cases of patients,the B ultrasound diagnosis showed that the endometrial thickness of 33 cases of patients were>5 mm,among which,19 cases were 5-10 mm and 10 cases were≥10 mm.The main results were of endometrial cancer(2.1%),endometrial inflammatory exudate (21.0%),endometrial polyps (30.7%) and cervical erosion(46.6%).And the proportion of uterine and endometrial thickness≥10 mm group were higher than that of the endometrial thickness of 5-10 mm group(P<0.05).The proportion of postmenopausal vaginal bleeding occurred≥20 years group were higher than that of the other groups(P<0.05).Conclusion:The reasons of postmenopausal vaginal bleeding were complex.And transvaginal ultrasound diagnosis can more accurately determine the thickness of the endometrium, provide scientific guidance for the screening of endometrial lesions,which has important clinical value.
