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目的通过经阴道彩色多普勒超声检查对绝经后妇女宫腔病变结果综合分析,提高绝经后妇女宫腔病变的早期诊断率,为进一步诊疗提供理论依据。方法 2011年4月至2012年5月对2 838例绝经后妇女进行经阴道彩色多普勒超声检查,对可疑宫腔病变者行宫腔镜手术,根据病理结果分析宫腔病变的发病情况。结果 2 838例绝经后妇女中,宫腔积液635例;超声可疑宫腔病变354例,经病理确诊宫腔病变305例,其中内膜息肉245例,内膜癌27例,内膜增生32例,内膜间质肉瘤1例,对子宫内膜息肉、子宫内膜增生及子宫内膜癌的超声提示和宫腔镜病理诊断进行kappa一致性检验,kappa值0.754(P<0.001)。结论经阴道彩色多普勒超声检查对绝经后妇女宫腔病变有较高的诊断符合率,是绝经后妇女必不可少的检查手段之一,为宫腔病变的早发现、早诊断和早治疗提供依据。
Objective To analyze the results of uterine lesions in postmenopausal women by transvaginal color Doppler ultrasonography and to improve the early diagnosis rate of uterine lesions in postmenopausal women so as to provide a theoretical basis for further diagnosis and treatment. Methods From April 2011 to May 2012, 2 838 postmenopausal women underwent transvaginal color Doppler ultrasonography and hysteroscopy for suspected intrauterine lesions. The incidence of intrauterine lesions was analyzed according to the pathological findings. Results Among 2 838 postmenopausal women, there were 635 cases of uterine effusion, 354 cases of suspected uterine lesions, 305 cases of uterine lesions confirmed by pathology, 245 cases of endometrial polyps, 27 cases of endometrial carcinoma, 32 cases of endometrial hyperplasia Cases, endometrial stromal sarcoma in 1 case, endometrial polyps, endometrial hyperplasia and endometrial cancer ultrasound tips and hysteroscopic pathological diagnosis kappa consistency test, kappa value 0.754 (P <0.001). Conclusion Transvaginal color Doppler ultrasound examination of postmenopausal women with intrauterine lesions have a high diagnostic coincidence rate of postmenopausal women is an indispensable means of inspection for the early detection of uterine lesions early diagnosis and early treatment Provide evidence.