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目的探讨阴道超声在围绝经期功血药物治疗的效果评价中的应用。方法对2014年1-10月在该院就诊的60例围绝经期功血患者进行回顾性分析,根据经阴道彩色多普勒超声测量子宫内膜厚度而采用药物治疗,探讨其治疗效果。结果 60例围绝经期功血患者子宫内膜厚度平均为(9.8±0.56)mm,其中57例患者经药物治疗后子宫内膜厚度平均为(5.1±1.2)mm,其止血成功率达90.0%(54/60),调整经期有效率达95.0%(57/60),其余3例药物治疗疗效不佳,后行子宫切除手术。结论应用经阴道彩色多普勒超声动态监测围绝经期功血患者的子宫内膜厚度情况,可为临床医师制定合理的治疗方案,为预后评估提供重要的参考依据。
Objective To investigate the application of transvaginal sonography in the evaluation of peri-menopausal dysfunctional uterine bleeding. Methods Sixty patients with peri-menopausal dysfunctional uterine bleeding who were treated in our hospital from January to October in 2014 were analyzed retrospectively. Drug therapy was used to measure endometrial thickness according to transvaginal color Doppler echocardiography. Results The average thickness of endometrium in 60 cases of perimenopausal dysfunctional uterine bleeding was (9.8 ± 0.56) mm. The average thickness of endometrial in 57 cases was (5.1 ± 1.2) mm and the success rate of hemostasis was 90.0% (54/60). The effective rate of menstrual period adjustment was 95.0% (57/60). The remaining 3 cases were treated with ineffective drug therapy and received hysterectomy. Conclusion The dynamic monitoring of endometrial thickness in patients with peri-menopausal dysfunctional uterine bleeding by transvaginal color Doppler ultrasound can provide clinicians with a reasonable treatment plan and provide an important reference for the prognosis evaluation.