阴道超声与宫腔镜联合检查在围绝经期及绝经后出血中的诊断价值
[Diagnostic value of combined vaginal ultrasound and hysteroscopy in peri- and postmenopausal bleeding].
作者信息
Gücer F, Arikan M G, Petru E, Mitterdorfer B, Lahousen M, Lax S
机构信息
Geburtshilflich-Gynäkologische Universitätsklinik Graz.
出版信息
Gynakol Geburtshilfliche Rundsch. 1996;36(1):9-13. doi: 10.1159/000272605.
OBJECTIVE
Is it possible to reduce the rate of curettages by using ultrasound and hysteroscopy?
METHODS
Transvaginal sonography, hysteroscopy, and dilation and curettage were performed in 103 patients with menometrorrhagia or postmenopausal bleeding. The patients were divided into three groups, depending on the ultrasound findings.
RESULTS
All 9 cases with cancer of the endometrium were found in group 3. 1 of the 9 carcinomas was not detected by hysteroscopy.
CONCLUSIONS
We believe that dilation and curettage is necessary in symptomatic women with an endometrial thickness < 4 as well as > 4 mm. Prospective studies have to clear the question of whether endometrial carcinomas can be detected by hysteroscopy in cases with an endometrium < 4 mm thick.
目的
使用超声和宫腔镜检查能否降低刮宫率？
方法
对103例月经过多或绝经后出血的患者进行经阴道超声检查、宫腔镜检查及刮宫术。根据超声检查结果将患者分为三组。
结果
所有9例子宫内膜癌患者均在第3组中被发现。9例癌症中有1例未被宫腔镜检查发现。
结论
我们认为，对于子宫内膜厚度<4 mm以及>4 mm的有症状女性，刮宫是必要的。前瞻性研究必须明确在子宫内膜厚度<4 mm的情况下，宫腔镜检查能否检测出子宫内膜癌的问题。
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