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月经周期不同阶段宫腔病变的经阴道超声评估
引用本文:郑巧荣,周静.月经周期不同阶段宫腔病变的经阴道超声评估[J].医学研究杂志,2014,43(5):155-157.
作者姓名:郑巧荣  周静
作者单位:[1]河南医学高等专科学校妇产科,郑州451191 [2]河南中医学院第一附属医院妇产科,郑州451191
摘    要:目的评估不孕妇女在月经周期不同阶段经阴道超声检查诊断宫腔病变的准确性。方法对504名不孕妇女在月经周期的6个不同时间行经阴道超声检查,发现宫腔病变者进一步行宫腔声学造影(sonohysterography,SHG)和宫腔镜检查。结果504名妇女中,经阴道超声共探测出宫腔病变46例,其中44例被SHG和宫腔镜证实,44例病变均在排卵期和早黄体期(周期16~19天)经阴道超声探及,经阴道超声共误诊2例宫腔病变,漏诊2例轻度宫腔粘连。结论经阴道超声检查对官腔病变探测的准确性依赖于月经周期的不同时间,排卵期和早黄体期是检查的最佳时间。

关 键 词:月经周期不同阶段  宫腔病变  经阴道超声  官腔镜

Transvaginal Sonographic Evaluation at Different Menstrual Cycle Phases in Detection of Uterine Lesions
Zheng Qiaorong,Zhou Jing.Transvaginal Sonographic Evaluation at Different Menstrual Cycle Phases in Detection of Uterine Lesions[J].Journal of Medical Research,2014,43(5):155-157.
Authors:Zheng Qiaorong  Zhou Jing
Institution:. Department of Obstetrics and Gynecology,Henan Medical College, Henan 451191, China
Abstract:Objective To evaluate the diagnostic accuracy of transvaginal sonography in detection of intrauterine lesions among infertile women during different phases of the menstrual cycle. Methods Totally 504 infertile women underwent transvaginal sonography six different times during the course of their menstrual cycle. If a lesion was detected, it was further evaluated by sonohysterography and hyst- eroscopy. Results Of 504 women, 46 were shown to have intrauterine lesions by transvaginal sonography and those lesions were confirmed in 44 by sonohysterography and hysteroscopy. All 44 lesions were detectable during the ovulatory and early luteal phase (days 16 - 19) of the menstrual cycle. Transvaginal sonography falsely detected two lesions and missed fine adhesions in two patients. Conclusion Accuracy of transvaginal sonography in detection of intrauterine lesions is highly dependent on the menstrual cycle phase, with the ovulatory and ear- ly luteal phase being the optimal time for this examination.
Keywords:Different phases of the menstrual cycle  Intrauterine lesions  Transvaginal sonography  Hysteroscopy
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