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目的分析绝经后阴道出血患者采用阴道超声检查诊断的临床价值。方法回顾性分析医院收治的绝经后阴道出血患者48例采用阴道超声检查的临床资料,以子宫刮诊病理检查结果为标准判断阴道超声检查准确率。结果子宫诊刮病理检查,子宫内膜炎4例,子宫内膜增生10例,萎缩性子宫内膜24例,子宫内膜息肉5例,子宫内膜癌5例。48例患者进行阴道超声检查,结果表明子宫内膜炎5例(10.4%),子宫内膜增生10例(20.8%),萎缩性子宫内膜24例(50.0%),子宫内膜息肉6例(12.5%),子宫内膜癌3例(6.4%)。阴道超声检查对各种类型子宫内膜病变都具有较高的诊断准确率,和子宫诊刮病理检查的子宫内膜病变检出率,差异无统计学意义(P>0.05)。结论绝经后阴道出血采用阴道超声检查诊断可准确鉴别各类型子宫内膜病变,可为临床治疗提供重要的参考依据,在临床上具有较高的实际应用价值。
Objective To analyze the clinical value of vaginal ultrasonography in the diagnosis of postmenopausal vaginal bleeding. Methods The clinical data of 48 cases of vaginal bleeding in postmenopausal women with vaginal bleeding were retrospectively analyzed. The accuracy of vaginal ultrasonography was evaluated by the results of pathological examination of the uterus. Results of the diagnosis of uterine curettage, endometritis in 4 cases, 10 cases of endometrial hyperplasia, 24 cases of atrophic endometrium, 5 cases of endometrial polyps, 5 cases of endometrial cancer. 48 cases of patients with vaginal ultrasound examination showed that 5 cases of endometritis (10.4%), 10 cases of endometrial hyperplasia (20.8%), 24 cases of atrophic endometrium (50.0%), 6 cases of endometrial polyps (12.5%), 3 cases of endometrial cancer (6.4%). Vaginal ultrasound examination of all types of endometrial lesions have a high diagnostic accuracy, and the diagnosis of endometriosis pathological examination of endometrial lesions, the difference was not statistically significant (P> 0.05). Conclusion Vaginal bleeding in postmenopausal women with vaginal ultrasound diagnosis can accurately identify all types of endometrial lesions, which can provide an important reference for clinical treatment, which has a high practical value in clinical practice.