经腹彩超检查子宫内膜厚度在绝经前妇女子宫内膜疾病中的诊断价值分析  

Value of transabdominal color Doppler ultrasonography in testing endometrial thickness for the diagnosis of endometrial diseases in premenopausal women

作　　者：张倩倩 ZHANG Qian-qian(Department of Gynecology,Shandong Electric Power Central Hospital,Jinan 250001,China)

机构地区：[1]山东电力中心医院妇科,250001

出　　处：《中国现代药物应用》2022年第12期96-100,共5页Chinese Journal of Modern Drug Application

摘　　要：目的分析经腹彩超检查子宫内膜厚度在绝经前妇女子宫内膜疾病中的诊断价值。方法回顾性分析60例绝经前妇女的临床资料,均接受经腹彩超检查和病理检查,比较不同年龄患者的子宫内膜厚度,不同病理类型患者的子宫内膜均匀程度,不同子宫内膜厚度患者的生理、病理结果。结果60例患者中,病理检查正常子宫内膜14例(23.33%),子宫内膜炎13例(21.67%),子宫内膜增生21例(35.00%),子宫内膜不典型增生6例(10.00%),子宫内膜癌6例(10.00%)。年龄<40岁、年龄≥40岁患者的子宫内膜厚度分别为(6.38±1.44)mm、(6.44±1.88)mm,平均子宫内膜厚度为(6.42±1.86)mm。不同年龄患者的子宫内膜炎、正常子宫内膜、子宫内膜增生、子宫内膜不典型增生、子宫内膜癌患者的子宫内膜厚度逐渐增加。60例患者中,子宫内膜均匀37例(61.67%),不均匀23例(38.33%)。其中子宫内膜炎、正常子宫内膜、子宫内膜增生、子宫内膜不典型增生、子宫内膜癌患者的年龄逐渐增长,子宫内膜均匀率逐渐升高。60例患者中,子宫内膜厚度<10 mm 15例(25.00%),≥10 mm 45例(75.00%)。其中子宫内膜厚度<10 mm患者的增殖期占比高于子宫内膜厚度≥10 mm患者,差异有统计学意义(P<0.05)。子宫内膜厚度<10 mm患者的子宫内膜增生占比低于子宫内膜厚度≥10 mm患者,差异有统计学意义(P<0.05)。不同子宫内膜厚度患者子宫内膜炎、正常子宫内膜、子宫内膜不典型增生、子宫内膜癌占比比较差异无统计学意义(P>0.05)。结论在绝经前妇女子宫内膜疾病诊断中经腹彩超检查子宫内膜厚度的诊断价值高,值得推广。Objective To analyze the value of transabdominal color Doppler ultrasonography in testing endometrial thickness for the diagnosis of endometrial diseases in premenopausal women.Methods The clinical data of 60 premenopausal women were retrospectively analyzed,and they all received transabdominal color Doppler ultrasonography and pathological examination.The endometrial thickness in patients of different ages,the uniformity of endometrium in patients with different pathological types,and the physiological and pathological findings in patients with different endometrial thickness were compared.Results Among the 60 patients,pathological examination revealed normal endometrium in 14 cases(23.33%),endometritis in 13 cases(21.67%),endometrial hyperplasia in 21 cases(35.00%),atypical endometrial hyperplasia in 6 cases(10.00%),and endometrial cancer in 6 case(10.00%).The endometrial thickness were(6.38±1.44)mm and(6.44±1.88)mm in patients aged<40 years and aged≥40 years,respectively,and the mean endometrial thickness was(6.42±1.86)mm.Endometrial thickness gradually increased in patients with endometritis,normal endometrium,endometrial hyperplasia,atypical endometrial hyperplasia,and endometrial cancer at different ages.Among the 60 patients,the endometrium was uniform in 37 cases(61.67%),and uneven in 23 cases(38.33%).With the gradual increase in age of patients with endometritis,normal endometrium,endometrial hyperplasia,atypical endometrial hyperplasia,and endometrial cancer,the endometrial uniformity rate gradually increased.Among the 60 patients,the endometrial thickness<10 mm in 15 cases(25.00%)and≥10 mm in 45 cases(75.00%).The proportion of proliferative phase in patients with endometrial thickness<10 mm was higher than in patients with endometrial thickness≥10 mm,and the difference was statistically significant(P<0.05).The proportion of endometrial hyperplasia in patients with endometrial thickness<10 mm was lower than that in patients with endometrial thickness≥10 mm,and the difference was statistically

关 键 词：子宫内膜疾病 绝经前妇女 子宫内膜厚度 子宫内膜均匀程度 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]