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宫腔声学造影对子宫内膜病变鉴别诊断的意义

The role of hysterosonography and transvaginal ultrasonography in diagnosis of endometrial lesions

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【作者】 余鸽; 陆奉驹; 周净;

【Author】 YU Ge, LU Fenju, ZHOU Jin, Department of Utrasonography, Jing An Qu Central Hospital, Shanghai 200040

【机构】 上海静安区中心医院; 上海静安区中心医院 200040; 200040; 200040;

【摘要】 目的 应用宫腔声学造影经阴道超声检查鉴别诊断子宫内膜病变。方法 应用美国HP8500多普勒彩色诊断仪和国产子宫造影导管Q/GHXL37双腔管,在实时扫查下向导管内注入生理盐水使宫腔逐渐扩张,以显示子宫内膜和病灶。结果 受检者32例均为月经不规则和绝经后阴道流血的就诊患者。检查结果仅3例患者子宫内膜正常,其余29例均属异常病人,子宫病变检出率为90.6%。结论 宫腔声学造影术对子宫内膜病变的鉴别诊断很有价值。

【Abstract】 Objective The purpose of the present study was to diagnose the endometrial lesions by the administration of hysterosonography and transvaginal ultrasonography in women of bleeding disorder. Methods Thirty - two outpatients with irregular vaginal bleeding and bleeding in post menopause were studied. A hysterosonographic catheter was inserted to the uterine cavity and sterile saline solution was infused the catheter slowly . The examination for endometrial lesions was performed under ultrasonography directly. Results Twenty - nine out of thirty - two patients were diagnosed abnormality of endometrial cavity. In 90.6% of patients a sufficient diagnosis of the uterine cavity was attained at one visit. Conclusion The combing of the transavginal sonography and hysterosonagraphy increased the sensitivity for diagnose of focal lesions.

  • 【文献出处】 上海医学影像 ,Shanghai Medical Imaging , 编辑部邮箱 ,2001年03期
  • 【分类号】R445.1
  • 【被引频次】1
  • 【下载频次】23
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