The Results Analysis of Transvaginal Ultrasound for the Diagnosis of Postmenopausal Vaginal Bleeding

ZHAO Qian-ping

Abstract：Objective:To analyze the results of transvaginal ultrasound for the diagnosis of postmenopausal vaginal bleeding,in order to provide reference for clinical diagnosis.Method:189 cases of patients with postmenopausal vaginal bleeding were used the transvaginal ultrasound diagnostics,and the relationship between endometrial thickness and pathological findings,the vaginal bleeding after menopause and cancer incidence were analyzed.Result:Among the 189 cases of patients,the B ultrasound diagnosis showed that the endometrial thickness of 33 cases of patients were>5 mm,among which,19 cases were 5-10 mm and 10 cases were≥10 mm.The main results were of endometrial cancer(2.1%),endometrial inflammatory exudate (21.0%),endometrial polyps (30.7%) and cervical erosion(46.6%).And the proportion of uterine and endometrial thickness≥10 mm group were higher than that of the endometrial thickness of 5-10 mm group(P<0.05).The proportion of postmenopausal vaginal bleeding occurred≥20 years group were higher than that of the other groups(P<0.05).Conclusion:The reasons of postmenopausal vaginal bleeding were complex.And transvaginal ultrasound diagnosis can more accurately determine the thickness of the endometrium, provide scientific guidance for the screening of endometrial lesions,which has important clinical value.