三维超声在绝经后子宫出血诊断中的应用
投稿时间:2010-03-28    点此下载全文
引用本文:雷曼殊,张蔚,郭婉茹,周琦,陈娇.三维超声在绝经后子宫出血诊断中的应用[J].医学研究杂志,2010,39(9):107-109
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作者单位
雷曼殊 武汉大学人民医院妇1科 
张蔚 武汉大学人民医院妇2科 
郭婉茹 武汉大学人民医院妇3科 
周琦 武汉大学人民医院妇4科 
陈娇 武汉大学人民医院妇5科 
中文摘要:目的探讨三维阴道超声对绝经后子宫出血的诊断价值。方法对笔者医院收治73例绝经后子宫出血妇女进行三维阴道超声检查,观察子宫内膜厚度和子宫血管形成指数(VI)、血流指数(FI)、血管形成血流指数(VFI)等参数。结果子宫内膜癌组患者的内膜厚度及VI、FI、VFI较内膜良性病变组高,两者比较,有统计学意义(P<0.05)。结论三维阴道超声对绝经后子宫出血的子宫内膜病变有较高的诊断符合率及临床实用价值。
中文关键词:三维阴道超声  绝经  子宫出血
 
The Diagnostic Value of 3D-TVS in Postmenopausal Bleeding
Abstract:ObjectiveTo determine the diagnostic value of three-dimensional transvaginal ultrasound(3D-TVS)in postmenopausal bleeding. MethodsSeventy-three patients with postmenopausal underwent 3D-TVS examination of the corpus uteri. The endometrial thickness was calculated, along with the vascularization index (VI), flow index(FI) and vascularization flow index(VFI) in the endometrium. ResultsThere were 33 benign and 39 malignant endometria. Endometrial thickness,VI,FI and VFI were significantly larger in malignant than those in benign endometria,with two-tailed P<0.05 being considered statistically significant. ConclusionThe 3D-TVS has high diagnostic coincidence rate and clinical practical value for endometrial lesions in women with postmenopausal bleeding.
keywords:Three-dimensional transvaginal ultrasound  Postmenopausal  Bleeding
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