For women, some gynecological diseases are the most tormenting, especially endometrial thickening. If it is serious, it may even affect the patient's body and cause infertility. In addition, in the face of many endometrial thickening diseases, patients must make a good diagnosis. So, how to diagnose endometrial thickening? 1. Laboratory diagnosis (1) CA125 (ovarian cancer-associated antigen) value determination is a tumor-associated antigen with certain diagnostic value for epithelial ovarian cancer. However, in patients with endometrial thickness, CA125 value may increase, and the positive rate increases with the increase of endometrial thickness stage. Its sensitivity and specificity are very high, so it is helpful for the diagnosis of endometrial thickness and can also monitor the efficacy of endometrial thickness treatment. (2) Anti-endometrial antibodies (EMAb) Anti-endometrial antibodies are autoantibodies that use the endometrium as a target antigen and induce a series of immunopathological reactions. They are marker antibodies for endometrial thickness. The detection of serum EMAb is an effective diagnostic method for the diagnosis of patients with endometrial thickness and for the observation of therapeutic effects. 2. Imaging diagnosis (1) B-mode ultrasound diagnosis B-mode ultrasound diagnosis is one of the commonly used diagnostic methods in obstetrics and gynecology, and plays an important role in the diagnosis of obstetrics and gynecology diseases. It can determine the location, size, and shape of cysts and detect masses that are not palpable during gynecological diagnosis. (2) Laparoscopic diagnosis: Using a laparoscope to directly peer into the pelvic cavity, thick lesions can be seen or biopsied to confirm the diagnosis. The clinical stage of pelvic endometrial thickness and the treatment plan can be determined based on the results of the laparoscopic examination. Under laparoscopy, attention should be paid to observing whether there are endometrial thick lesions in the uterus, fallopian tubes, ovaries, uterosacral ligaments, pelvic peritoneum, etc. The endometrial thickness is staged and scored based on the laparoscopic diagnosis or surgical findings. (3) X-ray diagnosis can be performed using pelvic pneumatic angiography and hysterosalpingography to assist in the diagnosis of pelvic endometrial thickness. (4) Magnetic resonance imaging (MRI) MRI can directly image in multiple planes, intuitively understand the scope, origin and invaded structure of the lesion, accurately locate the lesion, and enhance the ability to display soft tissue. Therefore, MRI is of great value in diagnosing endometrial thickness and understanding pelvic lesions and adhesions. This is a summary of how to diagnose endometrial thickness. There are many reasons for endometrial thickness. Patients must receive treatment based on the cause of their own endometrial thickness. In addition, endometrial thickness may be a very serious disease for women, so the treatment is relatively long and patients must be patient. |
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