[Post-menopausal metrorrhagia: endometrial ultrasonic aspects].

Giornale italiano di oncologia Pub Date : 1990-01-01
M Longo, M Buzzi, G Abbondante, P Giovagnorio, M Vitagliano, B Tocci, D Eleuteri Serpieri, C Napolitano
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Abstract

Main causes of uterine post-menopausal bleeding are estrogenic substitutive therapy, ipo/atrophy, hyperplasia, carcinoma of endometrium and sarcoma. To evaluate the real usefulness of echotomography in these conditions, 128 patients in post-menopause (end of menstrual cycles from over an year) with at least one uterine bleeding were considered. The patients were submitted to pelvic ultrasonography in order to study uterine and ovarian morphology and, in particular, to examine endometrial echopattern. Endometrial reliefs were classified into 4 groups of echopattern and put in comparison with histopathology. From this comparison a well defined role of echotomography in the study of post-menopausal bleeding is evidenced: in cases of "abnormal echopattern" the probability of endometrial pathology is elevated (83.3%), with a good "sensibility" but without a so good "specificity" of ultrasounds: therefore its "subsidiary" but "necessary" role in the diagnosis of climateric uterine bleeding is emphasized.

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绝经后子宫出血:子宫内膜超声检查。
绝经后子宫出血的主要原因是雌激素替代治疗、子宫内膜萎缩、增生、子宫内膜癌和肉瘤。为了评估超声断层扫描在这些情况下的真正用处,我们考虑了128例绝经后(月经周期结束一年以上)至少有一次子宫出血的患者。患者接受盆腔超声检查,以研究子宫和卵巢形态,特别是检查子宫内膜回声模式。将子宫内膜缓解分为4组回声模式,并与组织病理学进行比较。从这一比较中,超声断层扫描在绝经后出血研究中的作用得到了明确的证明:在“回声模式异常”的情况下,子宫内膜病理的可能性升高(83.3%),超声具有良好的“敏感性”,但没有那么好的“特异性”,因此强调其在诊断气候性子宫出血中的“辅助”但“必要”作用。
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