宫腔镜辅助子宫内膜定位活检在子宫内膜癌诊断中的应用体会  

Diagnosis of endometrium carcinoma combined Hysteroscopy with biopsy.

作　　者：张琴[1] 

机构地区：[1]湖南省郴州市第一人民医院妇产科,423000

出　　处：《中国实用医药》2013年第10期31-32,共2页China Practical Medicine

摘　　要：目的探讨宫腔镜辅助子宫内膜定位活检在早期子宫内膜癌诊断中的应用。方法 2005年1月至2011年1月间宫腔镜辅助子宫内膜定位活检936例,确诊子宫内膜癌43例,并对其相关诊断情况进行分析总结。结果宫腔镜辅助子宫内膜定位活检诊断子宫内膜癌的敏感性为100%。43例子宫内膜癌中,15例为弥漫型,表现病灶凹凸不平,表面有曲张异型血管。21例为局限型,镜下表现:病灶形态不规则,有曲张异型血管的子宫赘生物。有7例表现宫腔点状出血灶,追踪检查,病理确诊子宫内膜癌。结论宫腔镜辅助子宫内膜定位活检是诊断子宫内膜癌的有效快捷的方法。Objective To explore the diagnosis of endometrium carcinoma combined hysteroscopy with biopsy. Methods Hysteroscopied from January 2005 to January. 2011. 936 patients were examined combined hysteroscopy with endometrium biopsy, and 43 cases were diagnosed endometrium carcinoma. The data were an- alyzed. Results The sensitivity of hysteroseopy was 100% in the diagnosis of endometrium carcinoma. Out of the 43 cases, 15 cases showed diffusing type the focus： concave or convex and heteromorphic blood vessel on the surface; 21 cases displayed localizing type the focus：irregular configuration and excrescence with heteromor- phic blood vessel. 7 cases showed dotted hemorrhage of the endometrium, and further pathology＂ examination were carried out and diagnosed endometrium carcinoma. Conclusion It is a quick and valid diagnosis methods of endometrium carcinoma combined hysteroscopy with biopsy.

关 键 词：宫腔镜 子宫内膜癌 活检 

分 类 号：R737.33[医药卫生—肿瘤]