子宫内膜癌镜下图像特征分析  

Image characteristics analysis of endometrial carcinoma under hysteroscopy

作　　者：张春莲[1] 刘庭英[1] 何琳[1] 陈双郧[1] 

机构地区：[1]郧阳医学院附属太和医院妇产科,湖北十堰442000

出　　处：《中国内镜杂志》2008年第10期1062-1064,共3页China Journal of Endoscopy

摘　　要：目的正确识别子宫内膜癌宫腔镜下图像特征,提高子宫内膜癌的诊断准确率。方法回顾性分析该院2006年5月～2007年11月接受宫腔镜检查并经病理确诊为子宫内膜癌的宫腔镜图像。结果宫腔镜疑诊子宫内膜癌18例,病理组织学证实为子宫内膜癌17例,另1例为子宫内膜血管瘤。内膜癌基本图像特征:弥漫型病灶多呈灰白色或淡黄色,杂乱凹凸不平乳头样改变,组织糟脆、易出血,可见怒张或异型血管,灌流液多混浊,可见絮状及小块状物翻滚;局灶型病灶可呈息肉样、舌样、结节样、菜花样改变,病灶与周围正常组织分界清楚,多可见伪足,病灶色泽多样,表面血管丰富、杂乱、怒张,走向不规则,多呈粗大的树枝状、部分呈螺旋状。结论该组宫腔镜诊断子宫内膜癌准确率94.4%。子宫内膜癌有其典型的镜下特征,可为临床早期诊断提供帮助。【Objective】To identify the image characteristics of endometrial carcinoma under hysteroscopy correctly and to improve diagnostic accuracy. 【Methods】The images by hysteroscopy were analyzed retrospectively. They received the examination by hysteroscopy and were confirmed as endometrial carcinoma by pathological examination from May 2006 to November 2007 in our hospital. 【Results】There were 18 cases of suspected endometrial carcinoma under hysteroscopy, 17 cases of which were confirmed pathologically and anot...

关 键 词：子宫内膜癌 宫腔镜 图像特征 

分 类 号：R737.33[医药卫生—肿瘤]