经阴道彩色多普勒超声对绝经后子宫出血疾病的诊断价值

目的　评价经阴道彩色多普勒超声（ＴＶＳ）对绝经后子宫出血妇女内膜疾病的诊断价值以及对子宫内膜癌肌层浸润的估测。方法　对１１１例绝经后子宫出血妇女进行ＴＶＳ检查， 观察其内膜厚度、内膜回声结构及血流。结果　ＴＶＳ测量内膜厚度＜ ５ｍ ｍ 时可不做诊刮， 定期进行观察； 内膜癌和良性病变的血流显示率及动脉ＲＩ值有显著性差异（Ｐ＜ ０．０５）； ＴＶＳ能较精确地判断内膜癌的肌层浸润， 与病理结果有极显著相关性（ｒ＝ ０．９８，Ｐ＜ ０．００１）。结论　ＴＶＳ可作为绝经后子宫出血患者的首选检查方法

Transvaginal color Doppler ultrasonography in the evaluation of women with postmetfopausal bleeding

Objective To evaluate the role of TVS in assessing endometrial pathology in women with postmenopausal bleeding and in evaluating the depth of myometrial invasion in endometrial carcinoma. Methods A group of 111 women with postmenopausal bleeding were examined by TVS, endometrial thickness, echotexture, blood flow characteristics were evaluated. Results An endometrial thickness less than 5 mm was associated with normal or benign condition. This suggested that endometrial biopsy or curettage might not be necessary in this situation, visualization of abnormal blood flow within the endometrium in the endometrial carcinoma with mean resistance index constituted a statistical difference compared with that of benign endometrium (P< 0.05 ). TVS accurately detected depth of myometrial invasion in endometrial carcinoma, and had significant relation with pathologic assessment (r=0.98, P< 0.001 ). Conclusion TVS could be implemented as a routine first step procedure in patients with postmenopausal bleeding.