阴道超声测量子宫内膜厚度用于内膜病变的鉴别诊断  

Differential diaghosis of endometrial abnor-mality by transvaginal sonography

作　　者：谷春霞[1] 何方方[1] 向红[1] 徐苓[1] 林守清[1] 司秀蕊[1] 李彩娟[1] 潘秀兰[1] 张颖[1] 孙大为[1] 

机构地区：[1]北京协和医院,新疆医学院附属第一医院,河南中医学院附属第一医院

出　　处：《中华妇产科杂志》1994年第12期720-723,T080,共5页Chinese Journal of Obstetrics and Gynecology

摘　　要：应用阴道超声测量２８１名妇女的子宫内膜厚度，共４５０次。分为生育期、绝经后无出血及阴道不规则出血三组。生育期组３７例，共测量１８３次，并与血清雌、孕激素水平进行对照。内膜厚度为：卵泡期７．８±２．１ｍｍ，排卵日１０．４±１．９ｍｍ，黄体期１０．４±２．３ｍｍ。绝经后无出血组２００例，共测量２００次，内膜厚度范围为１～５ｍｍ，平均１．４±０．７ｍｍ。阴道不规则出血组４４例，共测量６７次，并与组织学检查结果进行对照。萎缩性内膜６例，厚度２．２±２．０ｍｍ；宫腔积液８例，厚度１４．５±６．１ｍｍ；子宫内膜息肉１２例，内膜厚度１６．７±７．７ｍｍ；子宫内膜增生１０例，内膜厚度１７．４±６．７ｍｍ；子宫内膜癌８例，内膜厚度２４．４±１１．９ｍｍ。绝经后内膜的正常厚度应＜５．０ｍｍ。ransvaginal sonography examination was per-formed 450 times in 281 women to diagnose the en-dometrial abnormality by measuring the thickness of en-dometrium. There were 37 women with normal ovulato-ry cycles, 200 postmenopausal women with no vaginalbleeding, and 44 women with irregular vaginal bleed-ing. For ovulatory cycles, the mean of endometrialthickness was 7. 8±2.1mm (3￣ 13mm) in the follicularphase, 10. 4 ±1. gmm (8 ￣ 13mm ) around ovulationand 10. 4±2. 3mm (8￣ 19mm) in the luteal phase. Theaverage thickness of endometrium for postmenopausalwomen without bleeding was 1. 4 ±0. 7mm (1￣5mm ). The measurement of the thickness of endometri-um in women with irregular vaginal bleeding was alsoconfirmed by histological analysis. Atrophy endometri-um was diagnosed in 6 cases, the thickness of en-dometrium was 2. 2±2. 0mm, hydrohystera was foundin 8 women , thickness of endometrium was 14. 5±6.1mm, endometrial hyperplasia in 10 cases, thicknesswas 17. 4 ±6. 7mm, endometrial polyps in 12 cases,thickness was 16. 7±7. 7mm , and endometrial carcino-ma in 8 cases, thickness was 24. 4±11. 9mm. General-ly, the normal thickness of endometrium for post-menopausal women should be less than 5. 0 mm.

关 键 词：子宫内膜 超声学 厚度 超声波诊断 异常内膜 

分 类 号：R711.704[医药卫生—妇产科学]