宫腔镜在子宫腺肌病诊断中的价值  

Application Value of Hysteroscopy in Diagnosis of Adenomyosis

作　　者：陈超[1] 张颖(审校)[1] CHEN Chao;ZHANG Ying(Gynecology Minimally Invasive Center,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Care Hospital,Beijing 100006,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院妇科微创中心,100006

出　　处：《国际生殖健康／计划生育杂志》2021年第5期411-414,共4页Journal of International Reproductive Health/Family Planning

基　　金：北京市卫生系统高层次卫生技术人才培养计划(2015-3-090)。

摘　　要：子宫腺肌病是严重危害女性健康的多发疾病,早期诊断困难。宫腔镜下可以识别子宫腺肌病患者宫腔内特异或非特异的、有时表现为细微而特征性的病变形态,包括子宫内膜内陷、血管增生、子宫内膜炎性改变、宫腔受压和囊性子宫腺肌病等,对子宫腺肌病诊断具有重要辅助作用。宫腔镜联合超声检查可以提高宫腔镜对子宫腺肌病的诊断率,同时可以进一步判定病灶大小、位置和深度。超声引导下宫腔镜定位活检取得子宫内膜肌层交界区组织病理是目前最有价值的实现子宫腺肌病的微创诊断方法,为有生育要求的患者或有保留子宫愿望的患者选择个体化的治疗方式提供了可能。Adenomyosis is a high incidence of disease which seriously endangers women′s health.It is difficult to diagnosis in the early stage.Hysteroscopy can be used to identify specific or nonspecific lesions in the uterine cavity of patients with adenomyosis,sometimes being subtle and characteristic lesions.These lesion include endometrial invagination,vascular hyperplasia,endometritis,uterine compression and cystic adenomyosis.Therefore,hysteroscopy plays an important role in the diagnosis of adenomyosis.Hysteroscopy combined with ultrasound can improve the diagnostic rate of hysteroscopy for adenomyosis,and help to determine the size,location and depth of lesions.Under the guidance of ultrasound,hysteroscopic biopsy can obtain the tissue of the endometrial-myometrial interface for histopathology,which is the most valuable minimally invasive diagnostic method for adenomyosis.This method provides the possibility of individualized treatment for those adenomyosis patients with fertility requirements or desire to preserve the uterus.

关 键 词：子宫腺肌病 宫腔镜 宫腔镜检查 超声检查 诊断 影像引导活检 

分 类 号：R711.71[医药卫生—妇产科学]