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目的 为提高超声对子宫内膜病变的诊断价值。方法 对43 例子宫不规则出血患者进行宫腔声学造影研究,并与诊刮结果对照。结果 造影前宫腔处于闭合状态,前后壁宫内膜贴近,有些宫腔内异常不易发现。宫腔扩开后以水作透声窗对内膜病变的显示程度明显提高。随着宫腔充盈程度的不同,病灶从显示不满意到清楚显示,并对其大小、形态、起源等可准确判断。结论 宫腔声学造影能直观显示内膜病变。诊刮与宫腔造影结合起来,则会提高诊断的准确性。但如确定内膜的功能状态,必须参照病史。
The purpose is to improve the diagnostic value of ultrasound on endometrial lesions. Methods Hysterosalography was performed on 43 patients with uterine irregular hemorrhage and compared with the results of curettage. Results before the uterine cavity in the closed state, close to the anterior and posterior wall of the wall, some intrauterine anomalies difficult to find. After the expansion of the uterine cavity for water through the sound window of the apparent extent of endometrial lesions increased significantly. With the different degree of filling the uterine cavity, lesion from the display is not satisfied to clearly show, and its size, shape, origin can be accurately judged. Conclusion Intrauterine angiography can visualize endometrial lesions. Combination curettage and uterine angiography, it will improve the diagnostic accuracy. However, to determine the functional status of the endometrium, we must refer to the history.