阴道超声检查发现宫腔占位性病变的290例患者临床及病理资料分析

发布时间：2018-05-21 21:22

  本文选题：阴道彩色超声 + 宫腔占位　； 参考：《山东医药》2015年31期

【摘要】：目的观察阴道超声检查发现的宫腔占位性病变患者的临床症状及病理特点。方法 290例阴道彩色超声提示宫腔占位性病变患者,对绝经期(97例)与非绝经期(193例)患者的临床症状及病理检查结果进行分析。结果非绝经期患者中无症状82例,伴月经不规律、阴道不规则出血、经间期出血71例,合并附件肿物、子宫肌瘤、宫颈赘生物26例,伴腹痛、腰痛、腹胀、痛经症状11例。非绝经期患者中188例切除宫腔占位或接受诊断性刮宫术,其中子宫内膜功能性改变105例,超声提示宫内回声团≤1.0 cm者中增生期子宫内膜与子宫内膜息肉样增生占85.71%;子宫内膜息肉51例有临床症状21例;其他子宫内膜病变32例,有临床症状26例。绝经期患者无症状53例,伴阴道异常出血、血样白带、接触性出血24例,合并附件肿物、子宫肌瘤、宫颈赘生物15例,伴腹痛、下腹不适、腹胀、腰痛3例。绝经期患者中90例切除宫腔占位或接受诊断性刮宫术,其中子宫内膜息肉46例、黏膜下子宫肌瘤20例、子宫内膜增生病变6例;无症状宫腔占位良性病变中子宫内膜息肉和黏膜下子宫肌瘤39例;子宫内膜癌、非典型腺肌瘤性息肉、子宫内膜不典型增生或复杂性增生10例,其中子宫内膜0.5 cm者7例,子宫内膜≥0.5 cm者3例。结论宫腔占位性病变非绝经期患者中,子宫内膜功能性改变占非绝经期患者一半以上,近一半无任何临床症状;绝经后宫腔占位前三位疾病为子宫内膜息肉、黏膜下子宫肌瘤及子宫内膜增生病变,宫腔占位性病变的子宫内膜厚度与病变性质无关,绝经后无症状宫腔占位以宫腔良性病变为主。
[Abstract]:Objective to observe the clinical symptoms and pathological features of uterine space occupying lesions found by vagina sonography. Methods the clinical symptoms and pathological findings of 290 patients with uterine space occupying lesions indicated by vaginal color ultrasound were analyzed in 97 postmenopausal patients and 193 non-menopausal patients. Results 82 cases were asymptomatic, accompanied by irregular menstruation, irregular bleeding of vagina, 71 cases of intermenstrual hemorrhage, complicated with adnexal tumor, uterine leiomyoma, 26 cases of cervical neoplasm, 11 cases of abdominal pain, low back pain, abdominal distension and dysmenorrhea. 188 cases of non-menopausal patients underwent resection of uterine space or underwent diagnostic curettage, including 105 cases of functional changes of endometrium. Ultrasound showed that the proportion of endometrial and endometrial polypoid hyperplasia was 85.71 in the patients with intrauterine echo group 鈮，

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