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目的分析彩超判断子宫内膜厚度在绝经后妇女子宫内膜癌中的诊断价值。方法随机抽取2 0 1 3年8月-2 0 1 5年9月期间于平煤神马医疗集团总医院接受诊断的绝经后阴道出血患者1 0 0例,对患者均采取阴道彩超诊断,测量患者子宫内膜厚度,并与诊断性刮宫及手术病理检查结果进行对比。结果阴道彩超诊断结果与诊断性刮宫或手术病理比较,准确率为9 6%,差异无统计学意义(P>0.0 5)。子宫内膜癌患者子宫内膜厚度均大于子宫内膜增生、萎缩性子宫内膜、子宫黏膜下肌瘤及子宫内膜息肉患者,萎缩性子宫内膜、子宫内膜增生无血流信号,子宫内膜癌患者与子宫黏膜下肌瘤及子宫内膜息肉患者相比,其血流指数阻力明显降低,差异有统计学意义(P<0.0 5)。结论阴道彩超在绝经后阴道出血患者中应用,具有较高诊断价值,可有效鉴别子宫内膜癌与良性病变。
Objective To analyze the diagnostic value of color Doppler ultrasound in the determination of endometrial thickness in postmenopausal women with endometrial cancer. Methods One hundred and ten cases of post-menopausal vaginal bleeding diagnosed in Pingdingshan Shenma Medical Group General Hospital from August 1983 to September 2015 were randomly selected. All patients underwent vaginal color Doppler ultrasound examination and measurement Patients with endometrial thickness, and with diagnostic curettage and surgical pathology results were compared. Results Compared with diagnostic curettage or surgical pathology, the diagnostic accuracy of vaginal ultrasound was 96%, with no significant difference (P> 0.0 5). Endometrial cancer patients with endometrial thickness are greater than the endometrial hyperplasia, atrophic endometrium, uterine fibroids and endometrial polyps in patients with atrophic endometrial, endometrial hyperplasia no blood flow signal, the uterus Compared with patients with uterine submucous myoma and endometrial polyps, endometrial cancer patients showed significantly lower resistance to blood flow index (P <0.0 5). Conclusions Vaginal ultrasound in the postmenopausal vaginal bleeding patients, has a high diagnostic value, which can effectively identify endometrial cancer and benign lesions.