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目的:探讨超声在围绝经期妇科疾病诊断中的作用,为临床诊断提供依据。方法:选取2012年2月至2012年8月间于我院接受诊断和治疗的处于围绝经期的阴道不规则出血患者128例,观察超声诊断与病理学诊断的差异,分析超声诊断的作用。结果:超声诊断与病理学检查结果的总符合率为95.31%,内膜良性病变类型与内膜癌和癌前病变类型的平均内膜厚度均明显高于内膜生理变化类型(P<0.05),子宫内膜厚度≥10 mm的发生内膜良性病变或内膜癌及癌前病变的64例(66.67%),厚度<10 mm的患者发生内膜良性病变或内膜癌及癌前病变10例(31.25%),差异有统计学意义(P<0.05)。结论:超声在围绝经期妇科疾病诊断中的作用显著,值得在临床上推广应用。
Objective: To explore the role of ultrasound in the diagnosis of peri-menopausal gynecological diseases and provide the basis for clinical diagnosis. Methods: A total of 128 patients with peri-menopausal vaginal irregular bleeding who were diagnosed and treated in our hospital from February 2012 to August 2012 were selected to observe the difference between ultrasonic diagnosis and pathological diagnosis and to analyze the role of ultrasonic diagnosis. Results: The total coincidence rate of ultrasonic diagnosis and pathological examination was 95.31%. The mean intimal thicknesses of benign endometrial lesions and endometrial carcinomas and precancerous lesions were significantly higher than those of endometrial physiological changes (P <0.05) , 64 cases (66.67%) of endometrial benign lesions or endometrial carcinomas and precancerous lesions with endometrial thickness ≥10 mm, benign endometrial lesions or endometrial carcinomas and precancerous lesions with thickness <10 mm Cases (31.25%), the difference was statistically significant (P <0.05). Conclusion: The role of ultrasound in the diagnosis of peri-menopausal gynecological diseases is significant and worth popularizing in clinic.