Maia H, Barbosa I C, Farias J P, Ladipo O A, Coutinho E M
Centro de Pesquisas e Assistência em Reprodução Humana, Bahia, Brazil.
Int J Gynaecol Obstet. 1996 Jan;52(1):61-6. doi: 10.1016/0020-7292(95)02577-4.
To compare transvaginal sonography (TVS), hysteroscopy and suction curettage in the evaluation of uterine bleeding during the menopause.
Forty-seven patients who presented with either postmenopausal bleeding (31 cases) or sonographic endometrial abnormalities at menopause (16 cases) were evaluated using TVS, hysteroscopy, and curettage with a Karman curette.
When endometrial thickness measured by TVS was < 4 mm, there was no endometrial pathology. However TVS could not differentiate accurately between hyperplasia, polyps or endometrial carcinoma. In these cases, endometrial thickness was invariably greater than 5 mm.
Hysteroscopy proved superior to curettage in the diagnosis of endometrial polyps.
比较经阴道超声检查（TVS）、宫腔镜检查和刮宫术在评估绝经后子宫出血中的应用。
对47例出现绝经后出血（31例）或绝经时超声检查发现子宫内膜异常（16例）的患者，采用经阴道超声检查、宫腔镜检查以及用卡曼刮匙刮宫进行评估。
经阴道超声检查测得子宫内膜厚度<4mm时，无子宫内膜病变。然而，经阴道超声检查无法准确区分增生、息肉或子宫内膜癌。在这些病例中，子宫内膜厚度总是大于5mm。
在诊断子宫内膜息肉方面，宫腔镜检查被证明优于刮宫术。
