Forrest T S, Elyaderani M K, Muilenburg M I, Bewtra C, Kable W T, Sullivan P
Department of Radiology, St. Joseph Hospital, Creighton University, Omaha, NE 68131.
Radiology. 1988 Apr;167(1):233-7. doi: 10.1148/radiology.167.1.3279455.
The ultrasonographic (US) appearance of the endometrium was evaluated in 80 patients, and the US diagnosis of endometrial stage was compared with that from same-day endometrial biopsy specimens. The US signs of proliferative endometrium included triple-line sign, hypoechoic function layer, and minimal or absent posterior acoustic enhancement. The signs of secretory endometrium included absent triple-line sign, hyperechoic functional layer, and strong posterior acoustic enhancement. When all of these US signs were clearly depicted in combination, the accuracy of diagnosis was 93% (30 patients). The accuracy of diagnosis for all patients in the study was 76% (73 patients). The relative distributions of each US sign in proliferative and secretory endometrium were compared. Despite complicating extrinsic factors such as uterine leiomyomas and intrinsic factors such as the transition period between endometrial phases, US staging of the endometrium is a useful diagnostic technique that allows serial examinations of the endometrium.
对80例患者的子宫内膜超声表现进行了评估，并将超声诊断的子宫内膜分期与同日子宫内膜活检标本的诊断结果进行了比较。增殖期子宫内膜的超声征象包括三线征、低回声功能层以及后方声增强微弱或无增强。分泌期子宫内膜的征象包括三线征消失、高回声功能层以及后方声增强明显。当所有这些超声征象同时清晰显示时，诊断准确率为93%（30例患者）。该研究中所有患者的诊断准确率为76%（73例患者）。比较了增殖期和分泌期子宫内膜各超声征象的相对分布情况。尽管存在诸如子宫平滑肌瘤等外在复杂因素以及子宫内膜各期之间的过渡期等内在因素，但子宫内膜的超声分期仍是一种有用的诊断技术，可对子宫内膜进行系列检查。
