Seckin B, Ozgu-Erdinc A S, Dogan M, Turker M, Cicek M N
a Department of Reproductive Endocrinology , Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
b Department of Physiology , Hacettepe University Faculty of Medicine , Ankara , Turkey.
J Obstet Gynaecol. 2016;36(2):230-3. doi: 10.3109/01443615.2015.1058768. Epub 2015 Oct 14.
The aim of this study was to assess the clinical usefulness of sonographic endometrium thickness measurement in asymptomatic postmenopausal women with endometrial fluid collection. Fifty-two asymptomatic postmenopausal women with endometrial fluid, who underwent endometrial sampling were evaluated. Histopathological findings revealed that 25 (48.1%) women had insufficient tissue, 20 (38.4%) had atrophic endometrium and 7 (13.5%) had endometrial polyps. No case of malignancy was found. There was no statistically significant difference between the various histopathological categories (insufficient tissue, atrophic endometrium and polyp) with regard to the mean single-layer endometrial thickness (1.54 ± 0.87, 2.04 ± 1.76 and 1.79 ± 0.69 mm, respectively, p = 0.436). Out of 44 patients with endometrial thickness of less than 3 mm, 38 (86.4%) had atrophic changes or insufficient tissue and 6 (13.6%) had endometrial polyps. In conclusion, if the endometrial thickness is 3 mm or less, endometrial sampling is not necessary in asymptomatic postmenopausal women with endometrial fluid.
本研究的目的是评估超声测量子宫内膜厚度在无症状绝经后子宫内膜积液女性中的临床应用价值。对52例接受子宫内膜采样的无症状绝经后子宫内膜积液女性进行了评估。组织病理学检查结果显示，25例（48.1%）女性组织量不足，20例（38.4%）为萎缩性子宫内膜，7例（13.5%）为子宫内膜息肉。未发现恶性病例。不同组织病理学类型（组织量不足、萎缩性子宫内膜和息肉）之间的平均单层子宫内膜厚度无统计学显著差异（分别为1.54±0.87、2.04±1.76和1.79±0.69mm，p = 0.436）。在44例子宫内膜厚度小于3mm的患者中，38例（86.4%）有萎缩性改变或组织量不足，6例（13.6%）有子宫内膜息肉。总之，对于无症状绝经后子宫内膜积液且子宫内膜厚度为3mm或更小的女性，无需进行子宫内膜采样。
