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子宫内膜厚度作为子宫内膜恶性病的预测者,在出现异常子宫出血的妇女中
N S Komola1, T T Mirza, S Dhar
1Dr Nahid Sultana Komola, Registrar, Gynae & Obs, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh;
Mymensingh medical journal : MMJ
|June 30, 2024
概括
绝经前和绝经后妇女的异常子宫出血 (AUB) 可能表明子宫内膜恶性瘤. 阴道超声波 (TVS) 是一种可靠的,非侵入性的检测工具,用于诊断特定的子宫内膜厚度切断值.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 异常子宫出血 (AUB) 是一种常见的妇科投诉,特别是在绝经前和绝经后的妇女中.
- 广泛的有机病理学可以导致AUB,需要准确的诊断方法.
研究的目的:
- 评估通过阴道超声波 (TVS) 测量子宫内膜厚度 (ET) 的有效性,以预测患有AUB的女性的子宫内膜恶性瘤.
- 确定ET切割值用于诊断绝经前期和绝经后妇女的子宫内膜癌.
主要方法:
- 一项横截面的观察性研究,涉及122名经期前期和87名经期后期妇女患有AUB.
- 数据收集包括详细的病史,检查,TVS和通过扩张和切割的子宫内膜活检.
- 统计分析ET,风险因素和TVS的诊断性能.
主要成果:
- 在绝经前期 (平均±SD 11.3±4.4mm) 和绝经后期 (7.2±6.3mm) 女性之间,子宫内膜厚度有显著差异.
- 在检测子宫内膜的恶性瘤方面,TVS表现出高灵敏度 (85.5%在绝经前,85.9%在绝经后).
- 怀疑恶性瘤的推ET截止值在绝经前期为>18.5mm,在绝经后为>12.2mm.
结论:
- 阴道超声波是一种可靠的,非侵入性的方法,用于检测女性的子宫内膜恶性瘤与AUB.
- 由TVS确定的特定子宫内膜厚度值可以帮助怀疑不同年龄组的子宫内膜癌.
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