宫腔镜下子宫内膜形态学在子宫内膜癌诊断中的应用研究进展  

Research Progress in Application of Endometrial Morphology under Hysteroscopy in Diagnosis of Endometrial Carcinoma

作　　者：吴浩 张雪颖 陈讯 许波群[1,2] WU Hao;ZHANG Xueying;CHEN Xun;XU Boqun(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Nanjing Medical University,Nanjing 210003,China;Department of Obstetrics and Gynecology,Sir Run Run Hospital of Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学第二附属医院妇产科,南京210003 [2]南京医科大学附属逸夫医院妇产科,南京210000

出　　处：《医学综述》2021年第23期4736-4740,共5页Medical Recapitulate

基　　金：江苏省妇幼健康重点学科和重点人才项目(FXK201712)。

摘　　要：子宫内膜癌是女性生殖系统三大恶性肿瘤之一,严重威胁女性健康。宫腔镜可直视宫腔,临床医师可根据宫腔镜下子宫内膜形态学改变,评估、定位有效的活检区域。宫腔镜下与子宫内膜癌相关的子宫内膜形态学呈现出明显的异质性,因此需要一定的客观标准规范形态学的诊断。根据宫腔镜下子宫内膜形态学特征与病理的相关性建立的子宫内膜癌预测模型是目前研究的热点,其可提供形态学诊断的客观指标,从而提高诊断的准确性与同质性。未来,通过对宫腔镜设施的不断改进,可以提高临床诊断特定子宫内膜病变的能力。Endometrial cancer is one of the three malignant tumors in the female reproductive system,which seriously threatens the health of women.Hysteroscopy can realize direct vision of the uterine cavity,and the clinicians can evaluate and locate effective biopsy areas based on the morphological changes of endometrium under hysteroscopy.Endometrial morphology associated with endometrial cancer under hysteroscopy presents significant heterogeneity,thus it requires certain objective criteria to standardize the morphological diagnosis.The endometrial cancer prediction model established based on the correlation between the morphological characteristics of endometrium under hysteroscopy and pathology is a hot research topic at present,which can provide objective indicators of morphological diagnosis and improve the accuracy and homogeneity of diagnosis.In the future,the ability to clinically diagnose specific endometrial lesions will be enhanced through continuous improvement of hysteroscopic equipments.

关 键 词：子宫内膜癌 宫腔镜 子宫内膜息肉 不典型血管 子宫内膜癌预测模型 

分 类 号：R737.33[医药卫生—肿瘤]