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Abnormal uterine bleeding in adolescents: ultrasound evaluation of uterine volume

机译:青少年异常子宫出血:子宫体积超声评估

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Objective: To evaluate ultrasonographic measurements of internal genitalia in girls suffering from abnormal uterine bleeding (AUB) and to compare the appearances with those of healthy girls. DESIGN Prospective case - control study. Methods: One hundred and five not sexually active adolescent girls were enrolled - 67 patients were suffering from AUB and there were 38 healthy peers. The groups did not differ in chronological age, or in postmenarcheal age. All girls underwent assessment of their history, clinical data and transabdominal pelvic ultrasound to evaluate their uterus and ovaries. In order to avoid the impact of endometrium cycle fluctuations, the uterine volume was calculated including and excluding its thickness. Results: The uterine volume among the girls suffering from AUB was significantly larger than in the control group. The mean uterine volume including endometrium in the study and control groups was 63.2 ?4.8 and 47.8 ?17.5 cm~3, respectively (p=.001), and excluding the endometrium was 34.7 ?3.1 and 29.1 ?13.8 cm~3 (p=.043). We did not find any significant difference in ovarian volume between the groups. Conclusions: The girls in the AUB group have significantly larger uterine volume than healthy girls. This finding does not depend on endometrial thickness.
机译:目的:评价患有子宫出血(AUB)异常(AUB)的女孩内部生殖器的超声测量,并与健康女孩的外观进行比较。设计前瞻性案例控制研究。方法:纳入一百五年不性活跃的青少年女孩 - 67名患者患有Aub,同行38人。这些群体在年龄的年龄或审核年龄没有差异。所有女孩都接受了评估其历史,临床数据和跨腹骨盆腔超声,以评估他们的子宫和卵巢。为了避免子宫内膜循环波动的影响,计算子宫体积,包括并排除其厚度。结果:患有Aub的女孩中的子宫体积显着大于对照组。在研究和对照组中包括子宫内膜的平均子宫体积分别为63.2〜47.8?17.5cm〜3(p = .001),排除子宫内膜为34.7〜3.1和29.1?13.8cm〜3(p = .043)。我们没有发现组之间的卵巢体积有任何显着差异。结论:Aub群体中的女孩患有比健康女孩更大的子宫卷。该发现不依赖于子宫内膜厚度。

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