绝经后阴道出血经阴道超声检查结果分析.docVIP

绝经后阴道出血经阴道超声检查结果分析 　　【摘要】 目的：分析绝经后阴道出血经阴道超声检查结果，为临床诊断提供参考。方法：对189例绝经后阴道出血的患者采用经阴道超声诊断，统计子宫内膜厚度与病理检查结果、绝经后阴道出血时间及恶性肿瘤发病率的关系。结果：189例患者中，B超诊断子宫内膜厚度5 mm者33例，其中子宫内膜厚度5～10 mm者19例，≥10 mm者14例。主要诊断结果为子宫内膜癌（2.1%）、内膜炎性渗出（21.0%）、内膜息肉（30.7%）及宫颈糜烂（46.6%）。子宫并内膜厚度≥10 mm组的子宫内膜癌的发生比例高于子宫内膜厚度5～10 mm组，差异有统计学意义（P0.05）。绝经后阴道出血时间为≥20年组的子宫内膜癌的发生比例高于其他组，差异有统计学意义（P0.05）。结论：绝经后阴道出血的原因较多，病因较为复杂。经阴道超声诊断可较为准确的判断子宫内膜厚度，为子宫内膜病变的筛查提供科学的指导，具有重要的临床应用价值。 　　【关键词】 绝经； 阴道出血； 阴道超声； 诊断 　　中图分类号 R256 文献标识码 B 文章编号 1674-6805（2014）11-0060-02 　　The Results Analysis of Transvaginal Ultrasound for the Diagnosis of Postmenopausal Vaginal Bleeding/ZHAO Qian-ping.//Chinese and Foreign Medical Research，2014，12（11）：60-61 　　【Abstract】 Objective：To analyze the results of transvaginal ultrasound for the diagnosis of postmenopausal vaginal bleeding，in order to provide reference for clinical diagnosis.Method：189 cases of patients with postmenopausal vaginal bleeding were used the transvaginal ultrasound diagnostics，and the relationship between endometrial thickness and pathological findings，the vaginal bleeding after menopause and cancer incidence were analyzed.Result：Among the 189 cases of patients，the B ultrasound diagnosis showed that the endometrial thickness of 33 cases of patients were 5 mm，among which，19 cases were 5-10 mm and 10 cases were ≥10 mm.The main results were of endometrial cancer（2.1%），endometrial inflammatory exudate （21.0%），endometrial polyps （30.7%） and cervical erosion（46.6%）.And the proportion of uterine and endometrial thickness ≥10 mm group were higher than that of the endometrial thickness of 5-10 mm group（P0.05）.The proportion of postmenopausal vaginal bleeding occurred ≥20 years group were higher than that of the other groups（P0.05）.Conclusion：The reasons of postmenopausal vaginal bleeding were complex.And transvaginal ultrasound diagnosis can more accurately determine the thickness of the endometrium，provide scientific guidance for the screening of endometrial lesions，which has importan