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目的探讨二维超声(以下简称B超)在围绝经期阴道异常流血疾病的辅助诊断价值。方法对齐齐哈尔市克东县妇幼保健院2007年1～12月门诊以阴道异常流血就诊的围绝经期患者的临床资料进行回顾性分析。结果本组189例围绝经期阴道异常流血患者经B超诊断与病理结果对比,总符合率为76.72%,各类疾病的符合率为:水泡状胎盘85.71%,流产84.62%,子宫内膜炎66.67%,子宫内膜息肉87.5%,子宫黏膜下肌瘤83.33%,功能失调性子宫出血75.43%,子宫内膜增生总符合率为60%。结论B超检查对围绝经期异常阴道流血患者有较高的诊断符合率,可作为常规检查项目。
Objective To investigate the value of two-dimensional ultrasound (hereinafter referred to as B-ultrasound) in the diagnosis of vaginal abnormal bleeding in perimenopausal period. Methods A retrospective analysis was performed on the clinical data of perimenopausal patients who were admitted to Qiqihar Maternal and Child Health Hospital of Qidong from January to December 2007 with abnormal vaginal bleeding. Results The 189 cases of abnormal vaginal bleeding in climacteric patients with B-ultrasound diagnosis and pathological results were compared, the total coincidence rate was 76.72%. The coincidence rates of various diseases were: blister placenta 85.71%, abortion 84.62%, endometritis 66.67%, endometrial polyps 87.5%, uterine submucous myoma 83.33%, dysfunctional uterine bleeding 75.43%, the total coincidence rate of endometrial hyperplasia was 60%. Conclusion B-ultrasound in patients with abnormal vaginal bleeding during peri-menopausal period has a high diagnostic accuracy, and can be used as routine examination items.