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目的:探讨单层子宫内膜厚度测定预测绝经期无症状宫腔积液内膜疾病的临床价值。方法:回顾分析我院2010年1月至2015年10月绝经后超声提示宫腔积液而无症状的105例患者的资料,总结单层子宫内膜厚度、宫腔积液与内膜疾病之间的关系。结果:单层内膜厚度≤3mm患者的组织学检查为病理性改变的概率显著低于内膜厚度>3mm者(P<0.01);子宫内膜病理性改变患者的内膜厚度大于绝经期子宫内膜患者(P<0.01);宫腔积液≤5mm者的组织学检查结果与宫腔积液>5mm者比较,差异无统计学意义(P>0.05)。结论:单层子宫内膜厚度≤3mm的绝经期无症状宫腔积液患者可随访,而单层内膜厚度>3mm的患者需行组织学检查明确内膜性质。
Objective: To investigate the clinical value of monolayer endometrial thickness measurement in predicting asymptomatic uterine fluid in endometrial disease. Methods: A retrospective analysis of our hospital from January 2010 to October 2015 postmenopausal uterine ultrasound showed no symptoms of 105 patients, the data summary of monolayer endometrial thickness, uterine fluid and endometrial disease Relationship between. Results: The histological examination of patients with monolayer endometrial thickness less than 3mm showed a significantly lower probability of pathological changes than those with endometrial thickness> 3mm (P <0.01). The intima thickness of patients with endometrial pathological changes was greater than that of menopausal uterus There was no significant difference between the patients with endometrium (P <0.01), the histological examination with uterine effusion≤5 mm and uterine effusion> 5mm. CONCLUSION: Patients with asymptomatic ascitic fluid with monolayer endometrial thickness less than 3 mm can be followed up, whereas patients with monolayer endometrial thickness> 3 mm need to be histologically examined for definite endometrial characteristics.