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目的:探讨超声与宫腔镜在诊断绝经后妇女宫腔积液中的价值。方法:对我院52例超声诊断为绝经后宫腔积液及部分合并其他病因的病例,与其宫腔镜检查结果进行对比分析。结果:超声诊断宫腔积液52例,考虑合并其他病变11例;宫腔镜检查均发现宫腔积液,除单纯性宫腔积液积脓外,发现其他病例37例,其中宫内膜癌6例,宫颈癌5例,宫颈肌瘤1例,宫内膜息肉9例,萎缩性宫内膜炎16例,后经病理证实诊断符合21例,诊断符合率为56.7%。结论:超声可作为绝经后宫腔积液的初步筛查,而宫腔镜是进一步诊断宫内病变的第一选择,二者需灵活应用提高诊断率。
Objective: To investigate the value of ultrasound and hysteroscopy in the diagnosis of post-menopausal women’s uterine fluid. Methods: 52 cases of our hospital ultrasound diagnosis of postmenopausal uterine fluid and some other causes of etiology cases, compared with the hysteroscopy results were analyzed. Results: 52 cases of uterine fluid were diagnosed by ultrasound and 11 cases were considered with other lesions. Hysteroscopy showed uterine effusion, in addition to simple suppurative effusion, 37 cases were found in other cases, including endometrial 6 cases of cancer, 5 cases of cervical cancer, 1 case of cervical fibroids, 9 cases of endometrial polyps, and 16 cases of atrophic endometritis. 21 cases were confirmed by pathology and the diagnostic coincidence rate was 56.7%. Conclusion: Ultrasound can be used as a preliminary screening of postmenopausal uterine fluid, and hysteroscopy is the first choice for further diagnosis of intrauterine lesions, both of which need flexible application to improve the diagnostic rate.