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应用B超与子宫内膜病理检查联合诊断异常子宫出血232例分析 被引量:1

The Application of B-ultrasonography Combined with Endometrial Pathologic Examination in Diagnosis of Abnormal Uterine Bleeding
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摘要 目的 探索子宫异常出血症的B超声象与子宫内膜病理检查的关系。方法 对232例子宫异常出血患者采用B超检查后做子宫内膜活组织病理检查,对B超显示子宫内膜增厚≥5mm或者有异常回声者作观察组,B超正常者为对照组。结果 观察组190例中病理检查显示正常子宫内膜21例(11.05%),异常子宫内膜169例(88.95%),其中不全流产33例、子宫内膜炎12例、子宫内膜增生过长及分泌不良98例、子宫内膜息肉及粘膜下肌瘤15例、子宫内膜恶性病变11例;对照组42例中有4例(9.53%)为不全流产外,其余无病理征。结论 先采用B超探查子宫内膜,对有异常声象作诊括术进行病理检查是诊断子宫异常出血症较为方便、简捷、有效的方法。 Objective To explore the relation of endometrial pathologic examination we B-ultrasonography in diagnosis of abnormal uterine bleeding. Methods 232 patients with abnormal uterinebleeding were examined by B-ultrasonography in tirst,then endometrial pathologic examination. Theobservation group was that had thicker endometium(≥5mm) or whose ultrasonic echo was abnormal,theother was control group. Results In the observation group,in all 190 patients,normal endmetriumwas 21(11.05%) and abnormal endometrium was 169 (88.95%) by pathologic examination. The cause ofabnormal endometrium was incomplete abortion(11 cases),endometritis(12cases),endometrial hy-perplasia and secreting adverse(98 cases),endometrial polyp and submucosal leiomyma(15 cases),endometrial malignant disease(11 cases).In the control group (42 cases),there were 4(9.53%) casesof incomplete abortion without other pathologic character.Conclusion The diagnosis of B-ultrasonog-raphy combined with pathologic examination is convenient,rapid and effective for abnormal uterinebleeding.
作者 崔一萍
出处 《国际医药卫生导报》 2003年第24期15-16,共2页 International Medicine and Health Guidance News
关键词 超声检查 子宫内膜 病理学 子宫出血 Ultrasonography examination Endometrium Pathology Uterine bleeding
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