Weigel M, Friese K, Strittmatter H J, Melchert F
Frauenklinik am Klinikum Mannheim, Fakultät für klinische Medizin, Universität Heidelberg.
Ultraschall Med. 1994 Jun;15(3):117-21. doi: 10.1055/s-2007-1003944.
Sonographic assessment of the endometrium in postmenopausal women is generally based on total thickness as only criterion. The cut-off values recommended in literature, however, vary considerably. The purpose of this study was to examine the significance of sono-morphology besides biometry of the endometrium. If vaginosonography showed an endometrial thickness of 3 mm or less, all histological findings were inconspicuous; beginning at a thickness of 10 mm only hyperplasias, polyps and carcinomas were found. In the range between, including more than one-third of our patients, the structure can point out the type of histology: Homogeneity, low echogeneity and a median echo are not important findings, but inhomogeneity and high echogeneity point to pathological changes of the endometrium. Using combined, metric-structural criteria in vaginosonography of the endometrium, not only the predictivity, but above all the selectivity is improved.
绝经后女性子宫内膜的超声评估通常仅基于总厚度这一标准。然而，文献中推荐的临界值差异很大。本研究的目的是除了子宫内膜的生物测量外，还研究超声形态学的意义。如果经阴道超声显示子宫内膜厚度为3mm或更小，则所有组织学结果均不明显；仅在厚度达到10mm时才发现增生、息肉和癌。在这个范围之间，包括超过三分之一的患者，其结构可提示组织学类型：均匀性、低回声性和中等回声不是重要发现，但不均匀性和高回声性提示子宫内膜的病理改变。在子宫内膜经阴道超声检查中使用综合的、测量结构标准，不仅可提高预测性，而且最重要的是可提高选择性。
