Lansac J, Alle C
Département de Gynécologie-Obstétrique, Reproduction et Médecine foetale, CHU Bretonneau, Tours.
Rev Fr Gynecol Obstet. 1994 Nov;89(11):573-7.
Metromenorrhagia is common around the time of the menopause. Following a careful history and full gynecological examination, vaginal ultrasonography and hysteroscopy combined with biopsies enable the investigation of such genital bleeding. Vaginal ultrasonography can be used to visualise the uterine cavity and measure the thickness of the endometrium. The term atrophy is used if the latter is less than 5 mm. If, on the contrary, the endometrium is thick or if there is a more notable intracavitary lesion, hysteroscopy and the collection of biopsy material guided by it will provide the diagnosis.
月经过多在绝经前后很常见。经过仔细的病史询问和全面的妇科检查后，阴道超声检查以及宫腔镜检查联合活检可用于对此类生殖器出血进行调查。阴道超声检查可用于观察子宫腔并测量子宫内膜厚度。如果子宫内膜厚度小于5mm，则称为萎缩。相反，如果子宫内膜增厚或存在更明显的宫腔内病变，则宫腔镜检查及其引导下的活检取材将有助于明确诊断。
