中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
30期
52-53
,共2页
子宫内膜息肉%宫腔镜%子宫内膜增厚
子宮內膜息肉%宮腔鏡%子宮內膜增厚
자궁내막식육%궁강경%자궁내막증후
Endometrial polyp%Hysteroscopy%Endometrial thickening
目的：探讨如何提高子宫内膜息肉诊断的准确率，给予患者正确的治疗﹔方法对2013年1-12月份该院收治的64例超声提示子宫内膜息肉患者的宫腔镜检查结果与术前超声结果进行比较﹔结果生育期妇女术后病理与超声诊断符合者27例，占73%﹔不符者10例，占27%，分别为增殖期宫内膜5例，分泌期宫内膜4例，单纯性增生1例。绝经期妇女27例，术前超声提示子宫内膜增厚的18例中，有10例发现子宫内膜病变，其中子宫内膜息肉8例。术前超声提示子宫内占位的9例，术后病理100%提示子宫内膜病变，其中子宫内膜息肉4例﹔结论生育期妇女超声诊断子宫内膜息肉有一定的误诊率，超声诊断应在卵泡期进行，根据子宫内膜息肉的大小采取个体化治疗。绝经期妇女，超声提示异常者应高度怀疑子宫内膜病变，需进行进一步的检查确诊。
目的：探討如何提高子宮內膜息肉診斷的準確率，給予患者正確的治療﹔方法對2013年1-12月份該院收治的64例超聲提示子宮內膜息肉患者的宮腔鏡檢查結果與術前超聲結果進行比較﹔結果生育期婦女術後病理與超聲診斷符閤者27例，佔73%﹔不符者10例，佔27%，分彆為增殖期宮內膜5例，分泌期宮內膜4例，單純性增生1例。絕經期婦女27例，術前超聲提示子宮內膜增厚的18例中，有10例髮現子宮內膜病變，其中子宮內膜息肉8例。術前超聲提示子宮內佔位的9例，術後病理100%提示子宮內膜病變，其中子宮內膜息肉4例﹔結論生育期婦女超聲診斷子宮內膜息肉有一定的誤診率，超聲診斷應在卵泡期進行，根據子宮內膜息肉的大小採取箇體化治療。絕經期婦女，超聲提示異常者應高度懷疑子宮內膜病變，需進行進一步的檢查確診。
목적：탐토여하제고자궁내막식육진단적준학솔，급여환자정학적치료﹔방법대2013년1-12월빈해원수치적64례초성제시자궁내막식육환자적궁강경검사결과여술전초성결과진행비교﹔결과생육기부녀술후병리여초성진단부합자27례，점73%﹔불부자10례，점27%，분별위증식기궁내막5례，분비기궁내막4례，단순성증생1례。절경기부녀27례，술전초성제시자궁내막증후적18례중，유10례발현자궁내막병변，기중자궁내막식육8례。술전초성제시자궁내점위적9례，술후병리100%제시자궁내막병변，기중자궁내막식육4례﹔결론생육기부녀초성진단자궁내막식육유일정적오진솔，초성진단응재란포기진행，근거자궁내막식육적대소채취개체화치료。절경기부녀，초성제시이상자응고도부의자궁내막병변，수진행진일보적검사학진。
Objective To discuss how to improve the diagnostic accuracy of endometrial polyp and give the correct treatment to the patients. Methods 64 patients admitted in our hospital from January 2013 to December 2013 were found with endometrial polyp by ultrasonography. And the detection results by hysteroscopy of the patients were compared with the findings of the preoperative ultrasonography. Results The results of postoperative pathological examination of 27 women of childbearing age were in accorded with the results of ultrasonography, accounting for 73%; and those of 10 women of childbearing age were not, accounted for 27%, including 5 cases with proliferative endometrium, 4 cases with secretory endometrium, and 1 case with simple hyperplasia. Among the 27 postmenopausal women, 18 cases were found with endometrial thickening by preoperative ultrasonography, and of them, 10 were found with endometrial lesions, including 8 cases with endometrial polyp. Preoperative ultrasonography showed that 9 cases had intrauterine occupying lesions, postoperative pathology suggested 100%endometrial lesions, including 4 cases with endometri-al polyps. Conclusion There is a certain misdiagnosis rate by ultrasonography for diagnosing endometrial polyp of women of child-bearing age. The ultrasonic diagnosis should be performed in folliclllar phase, and the patients should be given individualized treatment according to the size of endometrial polyp. For postmenopausal women with abnormal examination results by ultrasonog-raphy, endometrial lesions should be highly suspected, and the women need further examination for confirmed diagnosis.
