诊断性刮宫及宫腔镜检查在围绝经期阴道流血诊断中的价值  

The value of diagnostic curettage and hysteroscopy in perimenopausal vaginal bleeding

作　　者：温彦丽[1] 张晓薇[1] 

机构地区：[1]作者单位:广州医学院第一附属医院妇产科,广东广州510120

出　　处：《中国实用妇科与产科杂志》2012年第10期751-754,共4页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：围绝经期阴道流血常见的病因包括:子宫内膜增生症,子宫内膜息肉及子宫内膜癌。对其诊断常用的辅助检查方法为超声检查、诊断性刮宫和(或)宫腔镜检查。子宫内膜增生症以诊断性刮宫为首选的辅助诊断方法,而子宫内膜息肉因宫腔镜检查确诊率高,被认为是首选的辅助诊断方法。对于围绝经期异常阴道流血怀疑子宫内膜癌患者以诊断性刮宫和宫腔镜联合检查为主要手段,可及早明确诊断,并有效降低漏诊率。对子宫内膜癌患者行宫腔镜检查是否会造成癌细胞的扩散仍存有争议。The common causes of perimenopausal va- ginal bleeding inelude：endometrial h yperplasia, en- dometrial polyps and endometrial carcinoma. The common examination methods for diagnosing include B-ultrasound, diagnostic curettage and / or hysteros- copy. Diagnostic curettage is the first choice for the diagnosis of endometrial hyperplasia, and hysteroseo- py was considered to be the preferred method for di- agnosing endometrial polyps because of its high diag- nosis rate. If the patient was suspected of endometri- al carcinoma , she would be diagnosed by the ways of diagnostic curettage and hysteroscopy examination, the diagnosis can be confirmed and reduced the mis- diagnosis rate effectively. Whether hysteroseopy can cause the proliferation of cancer cells still remains controversial.

关 键 词：围绝经期阴道流血 诊断性刮宫 宫腔镜 子宫内膜增生症 子宫内膜息肉 子宫内膜癌 

分 类 号：R71[医药卫生—妇产科学]