盆腔超声在围绝经期异常子宫出血中的作用

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY Current Women s Health Reviews Pub Date : 2023-10-05 DOI:10.2174/0115734048255407230920072719
Radhouane Achour, Hiba Mkadmi, Rim Ben Hmid
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引用次数: 0

摘要

背景:围绝经期妇女约70%的妇科咨询是由于子宫出血。在大多数情况下,它们只是黄体缺乏引起的激素紊乱的见证人。经阴道超声是第一个无害的,可用的附加检查,要求作为病原学评估的一部分。目的:探讨超声在围绝经期子宫出血诊断中的作用,探讨超声与临床的相关性。方法:对2017年11月1日至2018年2月28日在突尼斯妇幼中心急诊科治疗4个月的50例围绝经期产后出血患者进行分析性描述性研究。我们的研究纳入了年龄≥45岁、未绝经且因突破性出血寻求治疗的患者。在我们的研究中,所有的患者最初都接受了阴道内超声检查,有时还伴有耻骨上超声检查。结果:患者平均年龄46.3岁。盆腔超声检查显示16例(32%)患者子宫增大,其中14例子宫纤维瘤大小在3至10厘米之间。超声检查结果与出血量(P = 0.321)、盆腔疼痛(P = 0.108)和一般情况(P = 0.437)无显著相关性。结论:阴道腔超声检查是一种快速、无痛的检查方法,是围绝经期阴道出血急诊科首选的检查方法。临床和超声检查结果之间的相关性是高度随机的,因此不可能假设一个编码良好的诊断和治疗假设。
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Contribution of Pelvic Ultrasonography in Perimenopausal Abnormal Uterine Bleeding
Background: About 70% of gynecological consultations for women in perimenopause are due to metrorrhagia. In most cases, they are only the witness of hormonal disturbances resulting from a luteal deficiency. Transvaginal ultrasound is the first innocuous and available additional examination that is requested as part of an etiological assessment. Objective: Our study aims to evaluate the contribution of ultrasonography in perimenopausal metrorrhagia and investigate possible clinical-ultrasound correlation. Methods: This analytical descriptive study was carried out on 50 treated for perimenopausal metrorrhagia in the emergency department of the Tunis Maternity and Neonatology Center for four months (November 1, 2017, to February 28, 2018). We included in our study patients who were not yet postmenopausal who were ≥ 45 years of age, and who sought care for breakthrough bleeding. All patients in our study initially underwent endovaginal ultrasonography, sometimes coupled with suprapubic ultrasonography. Results: The mean age of our patients was 46.3 years. Pelvic ultrasonography revealed an enlarged uterus in 16 patients (32%), with 14 of them having fibromatous uteri measuring between 3 to 10 centimeters. The findings indicate no significant correlation between ultrasound results and bleeding abundance (P = 0.321), pelvic pain (P = 0.108), and general condition (P = 0.437). Conclusion: Endovaginal pelvic ultrasonography is a quick, painless test and is the first test to be done first in an emergency department with perimenopausal vaginal bleeding. The correlation between clinical and ultrasound findings is highly random, making it impossible to assume a well-- coded diagnostic and therapeutic presumption.
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来源期刊
Current Women s Health Reviews
Current Women s Health Reviews OBSTETRICS & GYNECOLOGY-
CiteScore
0.70
自引率
25.00%
发文量
67
期刊介绍: Current Women"s Health Reviews publishes frontier reviews on all the latest advances on obstetrics and gynecology. The journal"s aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers in the fields of obstetrics and gynecology.
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