Pieta Wojciech, Radowicki Stanisław
Oddzial Ginekologiczno--Połoiniczy, Miedzyleski Szpital Specjalistyczny w Warszawie.
Ginekol Pol. 2009 Jul;80(7):503-7.
Aim of the study was to assess the usefulness of ultrasound endometrial thickness measurement in the diagnosis of endometrial pathology in women with abnormal peri- and postmenopausal bleeding.
Material included 182 patients whose endometrium sample was obtained for analysis. Patients were divided into six groups according to histological findings.
Correlation between thickness of endometrium and histological diagnostic was sought. Wide and partially covered range of endometrium thickness were found in the observed groups. In carcinoma group the highest were maximal and average values. The difference in average thickness of endometrium in carcinoma and hyperplasia groups when compared to the remaining groups proved to be statistically significant A value of cut down ultrasound measured endometrial thickness to exclude endometrial cancer was 9 mm.
Ultrasound measurement of endometrial thickness is not sufficient to increase effectiveness of endometrial pathology diagnosis in women with abnormal peri- and postmenopausal bleeding.
本研究旨在评估超声测量子宫内膜厚度在诊断围绝经期和绝经后异常出血女性子宫内膜病变中的作用。
材料包括182例获取子宫内膜样本进行分析的患者。根据组织学结果将患者分为六组。
探寻子宫内膜厚度与组织学诊断之间的相关性。在观察组中发现子宫内膜厚度范围广泛且部分有重叠。在癌组中，最大值和平均值最高。与其他组相比，癌组和增生组子宫内膜平均厚度的差异具有统计学意义。排除子宫内膜癌的超声测量子宫内膜厚度临界值为9毫米。
超声测量子宫内膜厚度不足以提高围绝经期和绝经后异常出血女性子宫内膜病变诊断的有效性。
