Schurz B, Eppel W, Huber J C, Reinold E
I. Universitäts Frauenklinik Wien.
Ultraschall Med. 1988 Feb;9(1):37-40. doi: 10.1055/s-2007-1011591.
Vaginal sonography of the endometrium is a new method of controlling the substitution therapy with oestrogen and progesterone during the postmenopausal period. The advantages of transvaginal ultrasonic diagnosis are that the uterus can be seen from the fornix vaginae, that it is situated at close range, and that the examination can be conducted whether the bladder is filled or not. The differences in thickness and structure of the endometrium, and the limitation to the surrounding myometrium, enable sonographic detection of most of the changes of the endometrium during the postmenopausal period. In our first group of patients, we found an endometrial carcinoma in 2 out of the 60 women with postmenopausal metrorrhagia. The findings were confirmed histologically. Women who have regular bleedings while undergoing hormone therapy during the postmenopausal period, show signs of proliferation in the endometrium under oestrogen therapy and signs of secretion under progesterone therapy.
子宫内膜的阴道超声检查是绝经后雌激素和孕激素替代治疗监测的一种新方法。经阴道超声诊断的优点是可以从阴道穹窿观察子宫，距离较近，无论膀胱是否充盈均可进行检查。子宫内膜厚度和结构的差异以及对周围肌层的限制，使得超声能够检测绝经后子宫内膜的大多数变化。在我们的第一组患者中，60例绝经后子宫出血的女性中有2例被发现患有子宫内膜癌。这些发现经组织学证实。绝经后接受激素治疗时出现规律出血的女性，在雌激素治疗下子宫内膜显示增殖迹象，在孕激素治疗下显示分泌迹象。
