Gu C X, He F F, Xiang H
Peking Union Medical College Hospital.
Zhonghua Fu Chan Ke Za Zhi. 1994 Dec;29(12):720-3, 761.
Transvaginal sonography examination was performed 450 times in 281 women to diagnose the endometrial abnormality by measuring the thickness of endometrium. There were 37 women with normal ovulatory cycles, 200 postmenopausal women with no vaginal bleeding, and 44 women with irregular vaginal bleeding. For ovulatory cycles, the mean of endometrial thickness was 7.8 +/- 2.1 mm (3-13 mm) in the follicular phase, 10.4 +/- 1.9 mm (8-13 mm) around ovulation and 10.4 +/- 2.3 mm (8-19 mm) in the luteal phase. The average thickness of endometrium for postmenopausal women without bleeding was 1.4 +/- 0.7 mm (1-5 mm). The measurement of the thickness of endometrium in women with irregular vaginal bleeding was also confirmed by histological analysis. Atrophy endometrium was diagnosed in 6 cases, the thickness of endometrium was 2.2 +/- 2.0 mm, hydrohystera was found in 8 women, thickness of endometrium was 14.5 +/- 6.1 mm, endometrial hyperplasia in 10 cases, thickness was 17.4 +/- 6.7 mm, endometrial polyps in 12 cases, thickness was 16.7 +/- 7.7 mm, and endometrial carcinoma in 8 cases, thickness was 24.4 +/- 11.9 mm. Generally, the normal thickness of endometrium for postmenopausal women should be less than 5.0 mm.
对281名女性进行了450次经阴道超声检查，通过测量子宫内膜厚度来诊断子宫内膜异常。其中有37名排卵周期正常的女性，200名无阴道出血的绝经后女性，以及44名阴道不规则出血的女性。对于排卵周期，卵泡期子宫内膜厚度的平均值为7.8±2.1毫米（3 - 13毫米），排卵期约为10.4±1.9毫米（8 - 13毫米），黄体期为10.4±2.3毫米（8 - 19毫米）。无出血的绝经后女性子宫内膜的平均厚度为1.4±0.7毫米（1 - 5毫米）。阴道不规则出血女性的子宫内膜厚度测量也通过组织学分析得到了证实。诊断出6例萎缩性子宫内膜，其厚度为2.2±2.0毫米；8名女性发现有子宫积水，子宫内膜厚度为14.5±6.1毫米；10例子宫内膜增生，厚度为17.4±6.7毫米；12例子宫内膜息肉，厚度为16.7±7.7毫米；8例子宫内膜癌，厚度为24.4±11.9毫米。一般来说，绝经后女性子宫内膜的正常厚度应小于5.0毫米。
