宫腔镜在子宫内膜病变诊治中的应用-黄金科学技术.pdfVIP

　　《中国医学创新》第 12 卷 第 28 期（总第 346 期）2015 年 10月 ① ① ① 朴曙花 　冯文宵 　李艳霞 探讨宫腔镜在不同子宫内膜病变诊治中的应用价值。回顾性分析 85 例宫腔镜检查 或诊断性刮宫患者的临床资料，分析患者的临床表现、术前超声特点、手术方式及术前术后病理诊断结果的一 致性。 64 例患者进行了宫腔镜检查，其中生育期妇女 37 例术前超声提示宫内占位，绝经期妇女 27 例术 前超声提示宫内占位 9 例，子宫内膜增厚 18 例。37 例生育期妇女宫腔镜检查中，子宫内膜息肉检出率 72.97% 明显高于诊断性刮宫 9.52% ，诊断性刮宫检查子宫内膜癌、子宫内膜非典型增生、子宫内膜单纯性增生、增殖 期子宫内膜的检出率均高于宫腔镜检查。绝经期妇女中，术前超声提示 9 例宫内占位，宫腔镜检查 100% 有宫 内器质性病变；术前超声提示 18 例子宫内膜增厚，宫腔镜检查发现正常子宫内膜 8 例（44.44%），子宫内膜病 变共 10 例，其中子宫内膜恶性病变 2 例（11.11%），子宫内膜息肉 8 例（44.44%）。宫腔镜在宫内占位 病变病因诊断中具有重要价值，但在不同的子宫内膜病变中需合理应用宫腔镜技术，减少不必要的有创检查及 治疗。 宫腔镜；　子宫内膜病变；　子宫内膜息肉；　子宫内膜癌 To explore the value of hysteroscopy in diagnosis of endometrial neoplasia. 85 cases who underwent hysteroscopic examination and diagnostic curettage were analysed retrospectively. of the clinical manifestations， preoperative ultrasound characteristics， surgical methods and the consistency results of the pathological diagnosis of the patients were analysed. 64 patients underwent hysteroscopy examination，37 patients of reproductive period with preoperative ultrasound tip intrauterine placeholder growth， 27 menopausal women of preoperative ultrasound tip intrauterine placeholder were 9 cases and 18 cases of endometrial thickening.Endometrial polyp detection rate of 37 cases with hysteroscopy examination in the reproductive period was 72.97%，which was significantly higher than 9.52% of the diagnostic curettage examination.But the detection rate of uterine endometrial cancer， uterine endometrial atypical hyperplasia， simple endometrial hyperplasia， and proliferative endometrial in diagnostic curettage check were higher than hysteroscopy examination. In menopausal women，preoperative ultrasound prompted the placeholder of 9 cases， hysteroscopy check 100% had intrauterine implement qualitative sex pathological change； preop