宫腔镜检查在子宫内膜癌诊断中的应用  

The diagnostic role of hysteroscopy in endometrial carcinoma

作　　者：高雪梅[1] 张秀辉[2] 彭芝兰[1] 

机构地区：[1]华西医科大学附属第二医院,成都610041 [2]华西医科大学附属第一医院,成都610041

出　　处：《四川肿瘤防治》2000年第2期88-90,共3页Sichuan Journal of Cancer Control

摘　　要：目的 :评价宫腔镜检查在子宫内膜癌诊断中的作用。方法 :采用宫腔镜检查 ,镜下子宫内膜活检 ,对234例绝经后子宫出血妇女经宫腔镜诊断为宫内膜癌的病例进行分析。结果 :234例绝经后子宫出血妇女中经宫腔镜检查后共行病理组织学检查179例 ,其中子宫内膜癌及癌前病变22例(12.29%) ,本组病例宫腔镜诊断子宫内膜癌及可疑癌与病理组织学检查的符合率为81.48 %。子宫良性病变与恶性病变其年龄及绝经年限分布比较均有显著性差异(P<0.01)。结论 :采用宫腔镜检查技术 ,结合病理组织学检查 ,对尽早确诊子宫内膜癌及癌前病变 ,具有临床意义。Objective:To evaluate the diagnostic role of hysteroscopy in endometrial carcinoma.Methods:Using the diagnostic technique of hysteroscopy and directed biopsies,the authors analysed those cases diagnosed as endometrial carcinoma from the 234 patients with postmenopausal bleeding by hysteroscopy.Results:179 of all 234 patients with postmenopausal bleeding had driected biopsies after hysteroscopy examination,the endometrial carcinoma / precancerous lesion were found in 22 cases(12.29%).The agreement rate between hysteroscopy and directed biopsies was 81.48%.In terms of age and menopause time,there were significant differences (P<0.01) between the patients with postmenopausal bleeding in the benign changes group and those in the malignant changes group.Conclusion:The combined use of hysteroscopical technique and directed biopsies is of great significance in making a definite diagnosis of endometrial carcinoma and precancerous lesion,further preventing the occurrence of endometrial carcinoma.The examination of hysteroscopy is an effective and valuable method.

关 键 词：宫腔镜检查 子宫内膜癌 诊断 

分 类 号：R737.33[医药卫生—肿瘤]