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目的探讨彩色多普勒超声(简称彩超)诊断绝经后妇女生理性宫腔积液的临床价值。方法收集73例绝经后妇女宫腔积液的彩超资料,归纳总结绝经期生理性宫腔积液的超声声像图特征。结果子宫内膜癌致宫腔积液5例,子宫内膜息肉致宫腔积液8例,宫颈癌放疗后致宫腔积液7例,子宫黏膜下肌瘤致宫腔积液4例,生理性宫腔积液49例。生理性宫腔积液占本组病例的67%(49/73)。结论彩超对绝经后妇女宫腔积液显示率为100%,对生理性宫腔积液可以密切观察,暂不处理,避免过度诊疗,具有重要的临床价值。
Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of physiological uterine fluid in postmenopausal women. Methods The color Doppler ultrasound data of 73 cases of postmenopausal women with uterine fluid collection were collected and the characteristics of ultrasonic echography of physiological uterine fluid during menopause were summarized. Results 5 cases of endometrial carcinoma caused by uterine effusion, 8 cases of endometrial polyp caused by uterine effusion, uterine fibroids induced uterine effusion in 4 cases, 49 cases of physiological uterine fluid. Physiological uterine effusion accounted for 67% of cases (49/73). Conclusion The color Doppler echocardiography shows that the rate of uterine effusion in postmenopausal women is 100%. The observation of physiological uterine effusion can be closely observed without treatment and avoid over diagnosis and treatment, which has important clinical value.