宫腔镜判定滋养细胞肿瘤的临床研究  

EVALUATION OF HYSTEROSCOPIC VALUE IN THE DIAGNOSIS AND FOLLOWUP OBSERVATION OF MALIGNANT TROPHOBLASLIC TUMOR

作　　者：李文锦[1] 何秀芹[1] 魏永和[1] 吕文英[1] 宋和存[1] 

机构地区：[1]北京医科大学人民医院妇科肿瘤研究室,中国医科大学第一医院妇科

出　　处：《内镜》1994年第4期212-214,共3页

摘　　要：本研究对２８例恶性和可疑恶性滋养细胞肿瘤的病例进行宫腔镜检查。其中用于确定诊断及鉴别诊断的１２例；判断宫腔内病灶有无的１６例；做了１０人次化疗效果判定及随访检查。对几种宫腔内病灶的官腔镜所见进行了描述。对部分病例用病理钳钳取组织进行检查。宫腔镜检查与Ｂ超、病理、手术进行了对照，其符合率分别为７５％、７９％、９０％。２８例检查无并发症。宫腔镜检查在恶性滋养细胞肿瘤诊断、疗效观察、随访等方面有意义。We performed hysteroscopic examination in 28 cases of malignant and suspicous malignant trophoblastic tumors.Among them 12 cases were to define the diagnosis and differential diagnosis;16 cases were to judge whether there were focus or not;followup examination of effectiveness chemotherapy were performed in 10 times;Focus in the uterocavity was observed by hysteroscopy;tissue of some cases was biopised.Control study were carried out among B-Model ultrasound,pathology,operation,acurrate rate separately were 75%,79%,90%.The examination of 28 cases proved no complication.Authors consider that hysteroscope examination have important practical value for the diagnosis;observation of treatment effectiveness;follow up of malignant trophoblastic tumors.

关 键 词：滋养细胞肿瘤 宫腔镜检 癌 

分 类 号：R737.330.4[医药卫生—肿瘤]