围绝经期功能失调性子宫出血的子宫内膜超声影像学的特点与临床病理关系探析.pdf

CHINESECOMMUNITY DOCTORS 论著·临床辅助检查 围绝经期功能失调性子宫出血的子宫 内膜超声影像学的特点与临床病理关系探析 刘勋 李国枝 431600湖北省汉川市人民医院 doi:10.3969/j.issn.1007-614x.2017.3.71 摘 要 目的：探讨围绝经期功能失调性子宫出血的子宫内膜超声影像学特点与临床病理关系。方法：收治围绝经期 功能失调性子宫出血患者96例，均接受彩超检查及诊断性刮宫检查，探讨两者之间的关系。结果：不同病理结果的 患者平均出血时间不同，其中复杂型、不典型增生的出血时间长于其他两种类型(P＜0.05)。超声影像学检查显示不同 病理结果的增生特点也有不同。各增生类型的患者子宫内膜厚度比较，差异有统计学意义(P＜0.05)。结论：针对不同类 型的围绝经期功能失调性子宫出血，可借助超声影像学检查，根据不同病理特点子宫内膜增生不同确定患者病理类型。 关键词 围绝经期功能失调性子宫出血；子宫内膜厚度；超声影像学 Analysis of the relationship between the characteristics of endometrium ultrasound imaging and the clinical pathologyofdysfunctionaluterinebleedinginperimenopausalperiod LiuXun,LiGuozhi ThePeoplesHospitalofHanchuanCity,HubeiProvince431600 Abstract Objective:Toexploretherelationshipbetweenthecharacteristicsofendometriumultrasoundimagingandtheclinical pathologyofdysfunctionaluterinebleedinginperimenopausalperiod.Methods:96patientswithdysfunctionaluterinebleedingin perimenopausalperiodwereselected.Theyweregiventheultrasoundexaminationanddiagnosticcurettageexamination.We exploredtherelationshipbetweenexaminations.Results:Themeanbleedingtimewasdifferentinthepatientswithdifferent pathologicalresults,andthebleedingtimeofcomplexandatypicalhyperplasiawaslongerthantheothertwotypes(P＜0.05). Ultrasoundimagingshowedthattheproliferativecharacteristicswerealsodifferentindifferentpathologicalresults.Inthepatients withvarioustypesofhyperplasia,endometrialthicknessdifferencewasstatisticallysignificant(P＜0.05).Conclusion:Fordifferent typesofdysfunctionaluterinebleedinginperimenopausalperiod,wecanuseultrasoundimagingtodeterminethetypeof pathologyaccordingtodifferentpathologicalcharacteristicswithdifferentendometrialhyperplasia. Keywords Dysfunctionaluterinebleedinginperimenopausalperiod;Endometrialthickness;Ultrasoundimaging 围绝经期功能失调性子宫出血是临