Tica V I, Beghim M, Cristurean V, Zaher M, Beghim Esra, Bafani S, Tica Irina
Facultatea de Medicina, Universitatea "Ovidius", Constanţa.
Rev Med Chir Soc Med Nat Iasi. 2006 Oct-Dec;110(4):889-93.
Endometrial cancer remains, today, a serious problem, especially for postmenopausal women. The aim of our study was to evaluate the utility of the transvaginal ultrasound examination in the management of the endometrial abnormalities in postmenopausal women. We included, in a prospective cohort, 49 successive postmenopausal women: 34 with metrorrhagia (group I) and 15 with no symptoms (group II) and we compared the results obtained by ultrasound examination, Pap smear and endometrial biopsy. Patients in group I had a higher frequency of risk factors and thick and abnormal endometrium. Unlike Pap smear, ultrasound examination and biopsy had comparable values. We could conclude that transvaginal sonography is a reliable technique for the endometrium evaluation in the postmenopausal women. Ultrasound exam could select the cases (without any symptoms) for endometrial biopsy and detect associated gynecological pathology.
时至今日，子宫内膜癌仍是一个严重的问题，尤其对于绝经后女性而言。我们研究的目的是评估经阴道超声检查在绝经后女性子宫内膜异常管理中的效用。我们纳入了一个前瞻性队列中的49名连续的绝经后女性：34名有子宫出血（第一组），15名无症状（第二组），我们比较了超声检查、巴氏涂片和子宫内膜活检所获得的结果。第一组患者有更高频率的危险因素以及增厚和异常的子宫内膜。与巴氏涂片不同，超声检查和活检具有相当的价值。我们可以得出结论，经阴道超声检查是绝经后女性子宫内膜评估的可靠技术。超声检查可以挑选出（无症状的）病例进行子宫内膜活检，并检测相关的妇科病理情况。
