CAJ | 학술논문

目的：探讨超声与宫腔镜在诊断绝经后妇女宫腔积液中的价值。方法：对我院52例超声诊断为绝经后宫腔积液及部分合并其他病因的病例，与其宫腔镜检查结果进行对比分析。结果：超声诊断宫腔积液52例，考虑合并其他病变11例；宫腔镜检查均发现宫腔积液，除单纯性宫腔积液积脓外，发现其他病例37例，其中宫内膜癌6例，宫颈癌5例，宫颈肌瘤1例，宫内膜息肉9例，萎缩性宫内膜炎16例，后经病理证实诊断符合21例，诊断符合率为56．7％。结论：超声可作为绝经后宫腔积液的初步筛查，而宫腔镜是进一步诊断宫内病变的第一选择，二者需灵活应用提高诊断率。
목적：탐토초성여궁강경재진단절경후부녀궁강적액중적개치。방법：대아원52례초성진단위절경후궁강적액급부분합병기타병인적병례，여기궁강경검사결과진행대비분석。결과：초성진단궁강적액52례，고필합병기타병변11례；궁강경검사균발현궁강적액，제단순성궁강적액적농외，발현기타병례37례，기중궁내막암6례，궁경암5례，궁경기류1례，궁내막식육9례，위축성궁내막염16례，후경병리증실진단부합21례，진단부합솔위56．7％。결론：초성가작위절경후궁강적액적초보사사，이궁강경시진일보진단궁내병변적제일선택，이자수령활응용제고진단솔。
Objective:To explore the sonography and hysteroscopy in women after menopause uterine cavity effusion diagnosis value Methods:52 cases of ul-trasound diagnosis of postmenopausal uterine fluid and combined with other causes of cases,and hysteroscopy Results:Results:52 cases of ultrasound in the di-agnosis of uterine cavity effusion,consider merging with other lesions in 1 1 cases;hysteroscopy uterine cavity effusion were found,in addition to simple uterine cavity effusion empyema,found in other 37 cases,including 6 cases of endometrial carcinoma,5 cases of cervical cancer,1 cases of cervical myoma,9 cases of endometrial polyps,16 cases atrophy of endometrial inflammation,confirmed by pathologic diagnosis in 21 cases,the diagnostic rate is 56.7%.Conclusions:ultrasound can be used as a preliminary screening of postmenopausal uterine fluid,and hysteroscopy is the first choice to diagnose intrauterine lesions,two flexi-ble application to improve the diagnostic rate.