Perimenopozal ve postmenopozal hastalarda endometrium kalınlığın önemi

Öz

Amaç: Transvajinal ultrasonografi ile saptanan endometrium kalınlığını, dilatasyon ve küretaj ile elde edilen endometrial patoloji ile kıyaslamak. Araç ve yöntem: Jinekoloji ve menopoz polikliniklerine başvuran perimenopozal ve postmenopozal 381 hastanın dosya kayıtları retrospektif olarak değerlendirildi. Transvajinal ultrasonografi ile ölçülen endometrium kalınlığı endometrial biyopsi sonucu ile kıyaslandı. Histopatolojik bulgular malign ve benign olarak ikiye ayrıldı. Bulgular: Perimenopozal olgularda endometrium kalınlığı malign olgularda, benign olgulara göre anlamlı olarak daha yüksek bulundu (15.40 ± 6,87'ye karşı 10.75 ± 6.45, p

Anahtar Kelimeler

• Geriyedönük çalışma,Ultrasonografi,Endometriyum,Postmenopoz,Premenopoz

Importance of endometrial thickness in peri and postmenopausal women

Abstract

Objective: The aim of this study was to compare endometrial thickness measured by transvaginal ultrasonography and endometrial histopathology results after dilatation and curettage. Material and Method: A retrospective chart review was performed of all peri and postmenopausal women applying to our gynecology and menopause outpatient clinics f rom January 2001 to January 2002. Endometrial thickness measured by transvaginal ultrasonography was compared with endometrial biopsy results. Results: In perimenopausal group, women with malignant biopsy results had greater mean endometrial thickness than women with benign results (15.40 ± 6,87 vs 10.75 ± 6.45, p0.05). Endometrial thickness cutoff value for prediction of endometrial malignancy was found 17 mm in perimenopausal women and 7.8 mm in postmenopausal women. Conclusion: Although endometrial thickness can be used f or prediction of malignancy in peri and postmenopausal women, endometrial biopsy is still choice of diagnostic modality in management of these group of women.

Keywords

• Retrospective Studies,Ultrasonography,Endometrium,Postmenopause,Premenopause

Kaynakça

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