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目的:探讨经阴道超声对绝经后子宫内膜病变的诊断价值。方法:采用经阴道彩色多普勒技术观察96例绝经后出血患者的子宫内膜厚度、形态及血流参数。结果:在内膜厚度、血管密度及阻力指数方面,子宫内膜癌、良性病变(各种炎症、子宫内膜增生或不典型增生、子宫内膜息肉)及非器质性改变(增生期子宫内膜、分泌期子宫内膜、萎缩性子宫内膜)两两比较差异均有统计学意义(P<0.05)。内膜厚度与血管密度具有相关性(r=0.52,P<0.05)。结论:经阴道彩色多普勒技术检测患者的内膜厚度、回声情况,血管密度、阻力指数等可准确预测绝经后出血患者子宫内膜的病理变化。
Objective: To investigate the value of transvaginal ultrasound in the diagnosis of postmenopausal endometrial lesions. Methods: The endometrial thickness, morphology and blood flow parameters of 96 patients with postmenopausal bleeding were observed by transvaginal color Doppler imaging. Results: In endometrial cancer, benign lesions (all kinds of inflammation, endometrial hyperplasia or atypical hyperplasia, endometrial polyps) and non-organic changes (proliferative uterus) in terms of intima thickness, vascular density and resistance index Endometrium, secretory endometrium, atrophic endometrium) with statistical significance (P <0.05). Intimal thickness correlated with vessel density (r = 0.52, P <0.05). Conclusion: The endometrial thickness, echogenicity, vascular density and resistance index of transvaginal color Doppler technique can accurately predict the pathological changes of endometrium in postmenopausal bleeding patients.