Differentiation and management of endometrium abnormalities and leiomyomas by hydrosonography.

S. Tercanli, O. Köchli, I. Hoesli, G. Feichter, A. Schaub, W. Holzgreve
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Abstract

Transvaginal sonography is an established method for numerous clinical indications in the assessment of endometrium pathology. The investigation of the endometrium consists of the measurement of the thickness, the visualization of the echogenity and echotexture and of the demonstration of focal masses. However, evaluation of the uterine cavity by transvaginal sonography is limited and an abnormal ultrasound of the endometrium may reflect benign or malignant conditions. Furthermore, small structures can be missed or overlooked. If indicated, hydrosonography offers various advantages compared to dilatation and curettage and hysteroscopy in terms of costs, availability and risks. Additional informations obtained after hydrosonography may influence the management before consideration of curettage or hysteroscopy.
子宫内膜异常与平滑肌瘤的超声鉴别与处理。
经阴道超声检查是子宫内膜病理评估中众多临床适应症的既定方法。子宫内膜的检查包括测量内膜厚度、显示回声和回声结构以及显示局灶性肿块。然而,经阴道超声对子宫腔的评价是有限的,子宫内膜的异常超声可能反映良性或恶性状况。此外,小型结构可能会被遗漏或忽视。如果有需要,水超声在成本、可用性和风险方面与扩张、刮除和宫腔镜相比具有各种优势。在考虑刮宫或宫腔镜检查之前,水超检查获得的其他信息可能会影响处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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