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目的:研究超声检查绝经后阴道出血准确率。方法:本研究从2014年1月至2015年12月选取96例绝经后阴道出血患者,平均年龄为53.2±6.1岁。对96例绝经后阴道出血行阴道彩色多普勒超声检查,并结合病理检查学结果进行分析。结果:将96例绝经后出血患者的彩色多普勒检查与病理检查结果相比较,得出彩色多普勒超声诊断符合者为87例,准确率为90.6%。96例绝经后阴道出血患者中,萎缩型内膜为35例,超声诊断30例,准确率为85.7%;内膜增生为23例,超声诊断21例,准确率为91.3%;内膜炎为14例,超声诊断准确率为100%;粘膜下肌瘤为10例,超声诊断为8例,准确率为80%;内膜癌为2例,超声诊断准确率为100%。内膜厚度≤5cm可作为临界值,鉴别内膜有无癌变。结论:阴道彩色多普勒超声检查可作为绝经后阴道出血的首选方法,也是筛选有无内膜癌的重要手段之一。
OBJECTIVE: To study the accuracy of ultrasonography in detecting vaginal bleeding after menopause. Methods: From January 2014 to December 2015, 96 patients with postmenopausal vaginal bleeding were selected. The mean age was 53.2 ± 6.1 years. Vaginal color Doppler ultrasonography was performed on 96 cases of postmenopausal vaginal bleeding, and the results of pathological examination were analyzed. Results: 96 cases of postmenopausal bleeding in patients with color Doppler examination and pathological examination results compared to color Doppler ultrasound diagnosis of 87 cases, the accuracy rate of 90.6%. In 96 cases of postmenopausal vaginal bleeding, atrophic endometrium was 35 cases, ultrasound diagnosis of 30 cases, the accuracy rate was 85.7%; intimal hyperplasia was 23 cases, ultrasound diagnosis in 21 cases, the accuracy rate was 91.3%; endocarditis 14 cases, the diagnostic accuracy of ultrasound was 100%; submucosal fibroids in 10 cases, ultrasound diagnosis of 8 cases, the accuracy rate was 80%; endometrial cancer in 2 cases, the diagnostic accuracy of ultrasound was 100%. Endometrial thickness ≤ 5cm can be used as a critical value to identify endometrial cancer. Conclusion: Vaginal color Doppler ultrasonography can be used as the preferred method of vaginal bleeding in postmenopausal women. It is also one of the important methods to screen for endometrial cancer.