Mogavero G, Sheth S, Hamper U M
Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Medical Institution, Baltimore, MD 21205.
Radiographics. 1993 Sep;13(5):969-81. doi: 10.1148/radiographics.13.5.8210600.
Endovaginal sonography allows excellent visualization of the endometrium, including the cyclic changes seen in premenopausal women and the normal postmenopausal endometrium. The spectrum of abnormalities affecting the endometrium and myometrium, including foreign bodies, infection, fluid collections, hyperplasia, and neoplasia, is also best assessed with endovaginal sonography. It has also become the imaging modality of choice for examining women with postmenopausal bleeding. In these patients, analysis of the sonographic appearance of the endometrium, combined with duplex and color Doppler evaluation of the endometrial vasculature, may allow differentiation of benign from malignant processes.
经阴道超声检查能很好地显示子宫内膜，包括绝经前女性子宫内膜的周期性变化以及绝经后正常子宫内膜。经阴道超声检查也最适合评估影响子宫内膜和肌层的一系列异常情况，包括异物、感染、积液、增生和肿瘤形成。经阴道超声检查还已成为检查绝经后出血女性的首选成像方式。对于这些患者，分析子宫内膜的超声表现，并结合对子宫内膜血管系统的双功和彩色多普勒评估，可能有助于区分良性病变和恶性病变。
