经阴道彩超对异常子宫出血的诊断

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。

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

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%),endometrium 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.