Deckardt R, Lueken R P, Gallinat A, Möller C P, Busche D, Nugent W, Salfelder A, Dohnke H, Hoffmeister U, Dewitt E, Hennefründ J, Hasskamp T, Krichbaum M, Maucher A, Auweiler U, Brökelmann J, Saks M, Füger T
Gynaekologische Praxisklinik, Helene-Weber-Allee 19, Munich 80637, Germany.
J Am Assoc Gynecol Laparosc. 2002 Aug;9(3):277-82. doi: 10.1016/s1074-3804(05)60404-5.
To compare transvaginal ultrasound, hysteroscopy, and dilation and curettage (D&C) in the evaluation of women with perimenopausal and postmenopausal bleeding.
Descriptive study (Canadian Task Force classification II-1).
Seven outpatient clinics.
One thousand two hundred eighty-six women.
Transvaginal ultrasound, hysteroscopy, and D&C.
Of our patient population, 29 (2.26%) had a histologic diagnosis of endometrial carcinoma; in 2 of them (7.14%) endometrial thickness was 5 mm or less. In 10 women (34.5%), endometrial carcinoma was missed by hysteroscopy (sensitivity 65.52%, specificity 99.92%). Complication rate of D&C was 1.4%.
In women with perimenopausal and postmenopausal bleeding neither transvaginal ultrasound nor hysteroscopy as a single diagnostic tool is suitable to rule out endometrial cancer.
比较经阴道超声、宫腔镜检查及刮宫术（D&C）在评估围绝经期和绝经后出血女性中的应用。
描述性研究（加拿大工作组分类II-1）。
七家门诊诊所。
1286名女性。
经阴道超声、宫腔镜检查及刮宫术。
在我们的患者群体中，29名（2.26%）经组织学诊断为子宫内膜癌；其中2名（7.14%）子宫内膜厚度为5mm或更薄。10名女性（34.5%）的子宫内膜癌被宫腔镜检查漏诊（敏感性65.52%，特异性99.92%）。刮宫术的并发症发生率为1.4%。
对于围绝经期和绝经后出血的女性，经阴道超声和宫腔镜检查作为单一诊断工具均不适用于排除子宫内膜癌。
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