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目的:通过经阴道超声对绝经后子宫出血患者子宫内膜病变的超声声像图的分析,确定子宫内膜病变的程度。方法:选取130例绝经后子宫出血患者为研究对象,在诊刮术前常规行阴道B超检查,测量子宫内膜厚度,观察病灶范围,然后行诊刮术,诊刮物送病理检查。结果:在130例患者中,有78例绝经后子宫出血患者的子宫内膜>5mm,其中10例经病理确诊为子宫内膜癌,52例子宫内膜厚度≤5mm者,病理检查未发现1例子宫内膜癌。结论:阴道超声检查可作为绝经后子宫出血患者进行诊刮术前的一种筛选手段。
OBJECTIVE: To determine the degree of endometrial lesions by transvaginal sonography ultrasonographic analysis of endometrial lesions in postmenopausal uterine bleeding patients. Methods: Thirty patients with postmenopausal uterine bleeding were selected as the study subjects. Vaginal ultrasonography was performed routinely before the curettage. The thickness of the endometrium was measured and the extent of the lesions was observed. The patient was followed by curettage and pathological examination. Results: In 130 patients, 78 cases of endometrial uterine bleeding in patients with postmenopausal uterine endometrial> 5mm, of which 10 cases were pathologically diagnosed as endometrial cancer, 52 cases of endometrial thickness ≤ 5mm, pathological examination did not find 1 Examples of endometrial cancer. Conclusion: Vaginal ultrasonography can be used as a screening method before curettage in patients with postmenopausal uterine bleeding.