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经阴道超声联合子宫内膜活检对绝经后子宫出血的诊断 被引量:5

Diagnosis of Transvaginal Ultrasound and Endometrial Biopsy in Patients with Postmenopausal Uterine Bleeding
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摘要 目的:探讨经阴道超声(TVS)联合子宫内膜活检病理对绝经期子宫出血(PMB)的诊断。方法:回顾性分析2011—01~2012—12经’rvs观察PMB子宫内膜的变化并且进行子宫内膜活检的131例患者的临床资料。结果:阴道超声PMB的131例患者内膜厚度在4.0mm-23mm之间,然后进行子宫内膜活检,5例未能获得子宫样本或所获组织不足病理诊断3.8%,71例子宫内膜单纯性增生54.2%,9例子宫内膜复杂性增生6.9%,1例子宫内膜不典型增生0.8%,2例子宫内膜癌1.5%,24例子宫内膜息肉18.3%,9例子宫内膜炎6.9%,2例粘膜下子宫肌瘤1.5%,8例正常子宫内膜6.1%。结论:TVS监测可作为子宫内膜病变的初筛方法,PMB应及早做子宫内膜活检病理检查以进一步确诊,提高子宫内膜病变的检出率。 Objective:To explore the diagnosis of transvaginal ultrasound (TVS) and endometrial biopsy in patients with postmenopausal uterine bleeding (PMB). Methods:A retrospective study of 131 patients with PMB by TVS who have been in the outpatient or inpatient reffered to endometrial biopsy between January 2011 and December 2012 in 245 Hospital of Shenyang. Results: All wemen ( n = 131 ) diagnosed with endometrial thickness of 4. 0 mm - 23.0 mm on TVS were included in the analysis. In total , a endometrial biopsy was availabe or Insufficient to pathological examination in 5 women (3.8%) ,71 cases of endometrial hyperplasia 54. 2% ,9 cases of endometrial complex hyperplasia 6. 9%, 1 endometrial atypical hyperplasia 0.8% ,2 cases of endometrial cancer 1.5% , 24 cases of endometrial polyps in 18.3% , 9 cases of endometritis 6. 9% ,2 cases of submucosal myoma 1.5%, 8 cases of normal endometrium 6. 1%. Conclusions: TVS monitoring can be used as a screening method for endometrial lesions. To improve the detection rate of endometrial lesions, patients with PMB should be done as soon as possible endometrial biopsy for further diagnosis.
出处 《航空航天医学杂志》 2013年第9期1042-1044,共3页 Journal of Aerospace medicine
关键词 阴道超声(TVS) 子宫内膜活检 绝经后子宫出血(PMB) Transvaginal ultrasound(TVS) Endometrial biopsy Postmenopausal uterine bleeding(PMB)
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