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目的:探讨绝经过渡期无排卵型功血患者治疗前后子宫内膜厚度与子宫内膜病理相关性,并评估诊断性刮宫术、内分泌疗效及预后。方法:选取290例绝经过渡期无排卵型功血患者,术前、术后给予B超检查,测量患者子宫内膜厚度并将标本及时送病理检查。结果:子宫内膜病理复杂性增生出血期内膜厚度超过12mm,不典型增生病人内膜厚度低于12mm,差异显著(P<0.05);术后,内膜厚度不低于8mm者需跟踪随访。结论:绝经过渡期无排卵型功血患者,B超检测可作为诊刮术评估重要指标,并也可用于治疗方案制定与预后评估。
Objective: To investigate the relationship between endometrial thickness and endometrial pathology before and after treatment in patients with anovulatory dysfunctional uterine bleeding during menopause and evaluate the diagnostic curettage, endocrine efficacy and prognosis. Methods: A total of 290 patients with anovulatory dysfunctional uterine bleeding during menopause were enrolled in this study. Preoperative and postoperative ultrasound examination was performed to measure the thickness of endometrium and the specimens were sent for pathological examination in time. Results: Intimal hyperplasia hyperplasia hemorrhage endometrial thickness more than 12mm, atypical hyperplasia intimal thickness less than 12mm, the difference was significant (P <0.05); postoperative, intima thickness of not less than 8mm follow-up . Conclusion: In patients with anovulatory dysfunctional uterine bleeding during the menopause, B-ultrasound can be used as an important index in the evaluation of curettage and can also be used in the treatment planning and prognosis evaluation.