文章摘要

超声测量单层子宫内膜厚度在无症状绝经期宫腔积液中的临床价值

作者: 1吴文萃, 1黄旴宁, 1刘艳婷
1 海南医学院第二附属医院超声科,海口 571100
通讯: 吴文萃 Email: 214162761@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.10.008

摘要

目的:探讨超声测量单层子宫内膜厚度在无症状绝经期宫腔积液中的临床价值。方法:选择2018年1月至2019年12月海南医学院第二附属医院收治的200例超声影像显示存在宫腔积液而无症状的绝经期妇女进行分析,总结单层子宫内膜厚度、宫腔积液量和子宫内膜病变的关系。结果:在200例患者中,萎缩性子宫内膜炎72例,内膜量不足者65例,子宫内膜病理改变者63例(其中子宫内膜息肉41例,子宫内膜增生20例,子宫内膜不典型增生2例),无子宫内膜癌的病例。子宫内膜厚度≤3 mm的绝经期无症状患者子宫内膜病变的概率显著低于子宫内膜厚度>3 mm的患者,子宫内膜病变与单层子宫内膜厚度差异有统计学意义(P<0.05),子宫内膜病变与宫腔积液量差异无统计学意义(P>0.05)。结论:单层子宫内膜厚度与子宫内膜病变关系密切,单层子宫内膜越厚,子宫内膜恶性病变概率越高,绝经期无症状宫腔积液的患者单层子宫内膜厚度<3 mm可进行随访,绝经期无症状宫腔积液患者单层子宫内膜厚度>3 mm的患者应及时行超声复查,必要时联合宫腔镜检查,避免子宫病变及子宫癌的发生。
关键词: 阴道超声;绝经期;宫腔积液;子宫内膜厚度;子宫内膜病变

Clinical value of single-layer endometrial thickness measured by ultrasound in asymptomatic menopausal effusion

Authors: 1WU Wencui, 1HUANG Xuning, 1LIU Yanting
1 Department of Ultrasound, Second Affiliated Hospital of Hainan Medical College, Haikou 571100, China

CorrespondingAuthor: WU Wencui Email: 214162761@qq.com

Abstract

Objective: To investigate the clinical value of ultrasonic measurement of monolayer endometrium thickness in asymptomatic menopausal effusion. Methods: A total of 100 menopausal women with asymptomatic effusions and asymptomatic menopausal women admitted to the Second Affiliated Hospital of Hainan Medical College from January 2018 to December 2019 were analyzed, the relationship between the thickness of single layer endometrium, the amount of intrauterine effusion and endometrial lesions was summarized. Results: Among the 200 patients, 72 were atrophic endometritis, 65 were inadequate endometrium, and 63 were endometrial pathological changes (including 41 endometrial polyps, 20 endometrial hyperplasia, and intrauterine Membrane dysplasia in 2 cases), no cases of endometrial cancer. The probability of endometrial lesions in menopausal asymptomatic patients with endometrial thickness ≤3 mm was significantly lower than that in patients with endometrial thickness >3 mm, the difference between endometrial lesions and monolayer endometrial thickness had statistical significance (P<0.05), there was no significant difference in the amount of endometrial lesions and intrauterine effusion (P>0.05). Conclusion: The thickness of the single-layer endometrium is closely related to the endometrial lesions. The thicker the single-layer endometrium, the higher the probability of endometrial malignant lesions. The thickness of the single-layer endometrium in patients with asymptomatic uterine effusion during menopause follow-up, patients with asymptomatic uterine effusion in menopausal patients with a single-layer endometrial thickness >3 mm should undergo ultrasound examination in time, and if necessary, combined with hysteroscopy to avoid uterine lesions and uterine cancer.
Keywords: vaginal ultrasound; menopause; uterine effusion; endometrial thickness; endometrial lesions