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目的：设计阴道超声检查（ＴＶＳ）评分法，对绝经后妇女子宫内膜进行检测，并探讨该评分法筛选诊断性刮宫术的意义。方法：根据绝经后子宫内膜的ＴＶＳ影像表现（形态、回声、厚度及有无宫腔积液）进行评分，每例妇女在ＴＶＳ后行诊断性刮宫并行病理检查。根据临床症状将２２６例绝经后妇女分为Ａ、Ｂ、Ｃ三组。结果：Ａ组ＴＶＳ评分０～５分，子宫内膜癌（ＥＣ）阳性率２１．０％，良性病变阳性率５０．８％；Ｂ组ＴＶＳ评分０～５分，ＥＣ阳性率８．０％，良性病变阳性率６０％；Ｃ组ＴＶＳ评分０～４分，良性病变阳性率５０％，未发现无ＥＣ者。ＴＶＳ评分与病理检查结果呈明显相关性，ＴＶＳ评分越高，有病变者发生率越高。结论：ＴＶＳ是诊断绝经后妇女子宫内膜是否正常的有效方法，ＴＶＳ评分法可作为绝经后妇女筛选诊断性刮宫手段，如ＰＭＢ妇女ＴＶＳ≥２分或ＰＭＤ妇女ＴＶＳ≥４分，则应行诊断性刮宫。
Objective: To design the vaginal ultrasound examination (TVS) score method to detect the endometrium of postmenopausal women and to explore the significance of the scoring method in screening diagnostic curettage. Methods: The postmenopausal endometrial TVS imaging findings (morphology, echo, thickness and the presence or absence of uterine effusion) were scored in each case of women after the diagnosis of TVS parallel curettage and pathological examination. According to the clinical symptoms of 226 postmenopausal women were divided into A, B, C three groups. Results: The TVS score of group A was 0 to 5, the positive rate of endometrial carcinoma (EC) was 21.0% and the positive rate of benign lesions was 50.8%. The TVS score of group B was 0 to 5, and the positive rate of EC was 8.0% , The positive rate of benign lesions 60%; C TVS score 0 to 4 points, the positive rate of benign lesions 50%, no found no EC. TVS score and pathological findings were significantly correlated, the higher the TVS score, the higher the incidence of lesions. Conclusion: TVS is an effective method to diagnose whether endometrium is normal in postmenopausal women. TVS score can be used as a screening method for postmenopausal women with diagnostic curettage. For example, TVS≥2 points for PMB women or TVS≥4 points for PMD women should be diagnosed Scratch curettage.