| 郝玉芝,王勇,黄苏里.腔内超声诊断子宫内膜良性病变[J].中国医学影像技术,2000,16(7):0584~586 |
| 腔内超声诊断子宫内膜良性病变 |
| Intracavitary Sonography in the Diagnosis of Uterus Benign Edomentrial Disorders |
| 投稿时间：2000-01-24 |
| DOI： |
| 中文关键词: 腔内超声 子宫内膜良性病变 乳腺癌术后 三苯氧胺 |
| 英文关键词:Intracavitary sonography Uterus Benign endometrial lesion Breast cancer postoperative Tomoxifen |
| 基金项目: |
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| 中文摘要: |
| 目的 经腔内超声可提高对内膜病变的诊断率。方法 经直肠腔内超声,检查前一天晚上口服泻药,排
出直肠内的粪便。经阴道腔内超声适量充盈膀胱即可。50 例内膜良性病变,年龄20～76 岁,手术病理证实47 例,
内膜诊刮证实3 例,其中,绝经后阴道不规则出血27 例,占54 % ,内膜厚8～45mm。结果 术前超声诊断为内膜癌
8 例、内膜息肉14 例、子宫肌瘤3 例、宫内膜炎4 例、葡萄胎1 例、内膜良性病变未作明确诊断20 例。10 例合并有其
他恶性肿瘤,乳腺癌5 |
| 英文摘要: |
| Objective To demonstrate the value of sonography introduced intracavitarily (intravaginal or transrectal) .
Methods The patients is instructed to take oral laxative the day before sonography. Moderate filling of bladder is necessary. 50 patients suffered from uterine bleeding were scanned by sonography and the lesions were all proved to be benign by
dilation and curettage (D + C ,3) or operation (47) . Range of age was 20～76 years. 27 (54 %) patients had irregular postmenopausal uterine bleeding. Nine of these 50 patients had concurrent malignant tumors ,five of them had breast cancer and
had been on tomoxifin regime (10 mg ,bid) . Results The thickness of endometrium varied from 8 to 45 mm. All 5 patients with breast cancer had the endometrium ≥18mm thick. Conclusion ①Diagnostic D + C is advised for patients with
endometrium 5～8mm thick and who had been on protracted tomoxifen regime ; ②Diagnostic D + C is strongly advised for
postmenopausal uterine bleeding patients who have endometrium > 8 mm thick ;and ③There is a false malignancy probability of 10 % (5/ 50) in sonography ,for this ,a diagnostic D + C is indicated. |
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