358例绝经后无子宫器质性病变妇女宫腔积液阴道超声分析  

Analysis of hydrohystera diagnosed by transvaginal-sonography in postmenopausal women

作　　者：唐军[1] 余丽桥[2] 耿京[1] 吕君[1] 高淑华[1] 

机构地区：[1]北京大学人民医院妇科,100044 [2]北京市海淀妇幼保健院

出　　处：《中国妇产科临床杂志》2005年第3期179-180,199,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的　研究绝经后妇女宫腔积液的超声临床特征。方法　应用阴道超声对绝经后妇女进行探查。重点观察子宫内膜形态、回声、厚度。按宫腔积液厚度分组:A组1～5mm ,B组>5mm。对B组,计算出液体量。指导临床对其进行宫腔引流。结果　绝经后妇女宫腔积液的发生率为11 83%。30 2 6例无子宫器质性病变的绝经后妇女中有宫腔积液35 8例,其中宫腔积脓18例,宫腔积脓致子宫穿孔1例。随着绝经时间延长,发生宫腔积液的比例增多,宫腔积液的量也增多。宫腔积脓均发生在B组。结论　绝经时间超过5年者应警惕子宫积脓的发生。宫腔积液厚度<5mm时,可定期观察。宫腔积液厚度>5mm时,非纯囊时多为脓液。这种患者应宫腔引流灌洗,如不处理会因子宫积脓过多造成子宫穿孔。阴道超声是观察并早期诊断宫腔积液可靠的辅助手段。Objective To evaluate ultrasound in diagnosis of hydrohystera in postmenopausal women.Methods Postmenopausal women were examined by transvaginal-sonography and the endometrial morphology,echo feature and thickness were analyzed.Two groups were divided according to the thickness of uterine cavity fluid:Group A 1～5 mm;group B >5 mm.In group B,fluid amount was calculated and cavity drainage was guided by ultrasound.Results The incidence of hydrohystera with no uterine organic disease was 11.83% (358/3026) in postmenopausal women.Eighteen cases were pyorrhea,with one uterine perforation.With the prolonging of menopause,the incidence of hydrohystera and amount of fluid increased.All the uterine pyorrhea occurred in group B.Conclusions Menopause time longer than five years and endometrial thickness >5 mm are risk factors of uterine empyema.Uterine drainage should be performed to prevent perforation.Transvaginal sonography is effective in early diagnosis of hydrohystera.

关 键 词：宫腔积液 器质性病变 无子宫 超声分析 绝经后妇女 子宫内膜形态 宫腔积脓 阴道超声 子宫穿孔 子宫积脓 临床特征 方法应用 时间延长 绝经时间 引流灌洗 早期诊断 厚度 B组 液体量 发生率 增多 

分 类 号：R445.1[医药卫生—影像医学与核医学]