Objective To investigate the values of transvaginal sonography and hysteroscopy in etiological diagnosis of hydrohystera in postmenopausal women. Methods The results of transvaginal sonography and hysteroscopy were analyzed and compared with pathological results in 48 postmenopausal women with hydrohystera. Results Among the 48 patients, hydrohystera was confirmed in 47 and misdiagnosed in 1 by transvaginal sonography, respectively. The phthological diagnosis of maligaant lesious of four cases. Benign disease and malignant lesion were diagnosed in 40 and 7 by hysteroscopy,respectively. The diagnostic coincidence rate was 57. 14%. Conclusion Transvaginal sonography is the preferred method for screening hydrohystera. The hysteroscopy should be combined with diagnostic curettage or hysteroscopic biopsy to diagnose the cause of hydrohystera.%目的 探讨经阴道超声、宫腔镜在绝经后妇女宫腔积液病因诊断中的价值.方法 分析48例绝经后妇女宫腔积液的经阴道超声及宫腔镜检查结果,并与病理检查结果作对比分析.结果 48例宫腔积液超声确诊47例,误诊1例;宫腔镜检查宫腔良性疾病40例,发现恶性病变7例,病理诊断恶性病变4例,与病理诊断符合率57.14%.结论 经阴道超声可作为筛查宫腔积液的首选方法,宫腔镜检查应配合诊断性刮宫或宫腔镜直视下活检方可对宫腔积液病因做出准确诊断.
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