宫腔镜检查在子宫内膜良恶性病变诊断中的临床价值.doc

宫腔镜检查在子宫内膜良恶性病变诊断中的临床价值 】H的探讨宫腔镜检查诊断子宫内膜良恶性病变的临床价值。 方法回顾性分析245例因超声检查提示宫腔异常行宫腔镜检查及病 理诊断患者的临床资料，总结其临床及病理特点。结果245例患者 中，子宫内膜息肉177例（72. 2%），子宫内膜增生23例（9. 4%），黏 膜下子宫肌瘤20例（8. 2%）,子宫内膜炎9例（3. 7%），子宫内膜不 典型增生12例（4.9%），子宫内膜癌4例（1.6%）。宫腔镜下诊断的 子宫内膜息肉的术后病理符合率为90. 4%，子宫内膜增生的术后病理 符合率为65. 2%，黏膜下子宫肌瘤的术后病理符合率为95.0%，子宫 内膜炎的术后病理符合率为66. 7%，不典型增生及子宫内膜癌的术后 病理符合率为68. 8%。102例有症状患者子宫内膜不典型增生及子宫内 膜癌的检出率（10.8%）高于无症状患者（3.5%），差异有统计学意义 （P〈0.05）。结论对于超声提示宫腔异常的患者，宫腔镜检查是一种 安全、有效的检查方式。宫腔占位中最常见的病理类型是子宫内膜息 肉，无症状但持续内膜增厚的患者，行宫腔镜检查可早期发现子宫 内膜恶性病变。 和著作权归原 所有，如有不 愿意被转载的情况， 己 关键词】宫腔镜；子宫内膜增厚；异常子宫出血；绝经 DOI： 10. 14163/j. cnki. 11-5547/r. 2017.01.002 Clinical value of hysteroscopy in diagnosis of benign and malignant lesion in endometrium CAI Yu, LI Jiang-ning, DIAO Hai-dan. Department of Gynecology， Dalian City Third People’ s Hospital， Dalian 116033， China Abstract ] Objective To explore clinical value of hysteroscopy in diagnosis of benign and malignant lesion in endometrium. Methods Retrospectively analyzed clinical data of 245 patients performing hysteroscopy and pathological diagnosis due to intrauterine abnormity prompted by ultrasonic testing, and summarize its clinical and pathological characteristics. Results Among 245 patients, there were 177 endometrial polyp cases (72.2%)， 23 hyperplasia endometrii cases (9.4%), 20 submucous myoma cases (8. 2%), 9 endometritis cases (3. 7%), 12 atypical hyperplasia of endometrium (4. 9%) and 4 endometrial cancer ( 1.6% ) . According to hysteroscope diagnosis , postoperative pathological coincidence rate of endometrial polyp as 90. 4%, postoperative pathological coincidence rate of hyperplasia endometrii as 65.2%, postoperative pathological coincidence rate of submucous myoma as 95. 0%, postoperative pathological coincidence rate of endometritis as 66. 7%， and postoperative pathological coincidence rate of atypical hyperplasia and endometrial cancer as 68. 8%. Among 102 patient with symptoms , positive rate of atypical hyperplasia of endometrium and endometrial