经阴道彩超对异常子宫出血的诊断  

Ttransvaginal color Doppler ultrasound in diagnosis of women with abnormal uterus bleeding

作　　者：张小英[1] 李国杰[2] 刘英宏[1] 陈涛[1] 朱亚利[1] 魏金明[1] 马英[1] 

机构地区：[1]北京市普仁医院超声科,北京100062 [2]皖南医学院附属医院弋矶山医院超声科,安徽芜湖241001

出　　处：《皖南医学院学报》2006年第4期290-292,共3页Journal of Wannan Medical College

基　　金：北京市崇文区中青年科研基金项目(3955)

摘　　要：目的:利用彩色多谱勒经阴道超声探讨异常子宫出血的病因。方法:对妇科住院经阴道超声诊断54例子宫异常出血的妇女行宫腔镜检查,了解子宫内膜病变情况,与宫腔镜及病理结果进行对照。结果:本组患者异常子宫出血绝经前病因:内膜增殖50%(20/40),内膜息肉22.5%(9/40)内膜癌2.5%(1/40),其他25%(10/40);绝经后病因内膜癌28.6%(4/14),内膜息肉21.4%(3/14),内膜增殖28.6%(4/14),其他21.4%(3/14);经阴道彩超诊断异常子宫出血与术后病理检查结果无显著差异性,与宫腔镜检查结果相吻合。因此,经阴道超声可以对异常子宫出血病因的做出诊断。结论:经阴道彩超可对异常子宫出血内膜病变病因做出初步诊断,可作为此类患者随访的一种可靠的检查手段。Objective ： To investigate the cause of abnormal uterus bleeding with transvaginal color Doppler ultrasound （TVS）. Methods： 54 cases of women with abnormal uterus bleeding observed by hysteroscopy were scanned with TVS for detecting uterine endometrium changes so as to confirm the pathological findings. Results ： The causes in the group of premenopause were suggested as follows： endometrium hyperplasia accounted for 50% （20/40）, endometrium polyps , 22.5% （9/40）, endometrium cancer, 2.5 % （ 1/40） and the rest, 25 % （10/40）. Those in the postmenopause group observed as endometrium cancer（28.6% ）, endometrium polyps （ 21.4 % ）, endometrlum hyperplasia （ 28, 6 % ） or the others（21.4 % ）. There was no difference between transvaginal diagnosis of abnormal endometrium and that of postoperative pathological finding. Both TVS and hysteroscopy suggested the same results, Conclusion ：TVS can be primary examination in screening women with the abnormal uterus bleeding and means of follow-up of such cases.

关 键 词：经阴道彩超 宫腔镜 异常子宫出血 病理 

分 类 号：R711.52[医药卫生—妇产科学]