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本研究对28例恶性和可疑恶性滋养细胞肿瘤的病例进行宫腔镜检查。其中用于确定诊断及鉴别诊断的12例;判断宫腔内病灶有无的16例;做了10人次化疗效果判定及随访检查。对几种宫腔内病灶的官腔镜所见进行了描述。对部分病例用病理钳钳取组织进行检查。宫腔镜检查与B超、病理、手术进行了对照,其符合率分别为75%、79%、90%。28例检查无并发症。宫腔镜检查在恶性滋养细胞肿瘤诊断、疗效观察、随访等方面有意义。
In this study, hysteroscopy was performed on 28 cases of malignant and suspected malignant trophoblastic tumors. Which used to determine the diagnosis and differential diagnosis of 12 cases; to determine the presence or absence of uterine lesions in 16 cases; made 10 people to determine the efficacy of chemotherapy and follow-up examination. Several types of intracavitary lesions of the cavity of the mirror described. In some cases using pathological forceps to take tissue examination. Hysteroscopy and ultrasound, pathology, surgery were compared, the coincidence rates were 75%, 79%, 90%. 28 cases without complications. Hysteroscopy in the diagnosis of malignant trophoblastic tumor, the efficacy of observation, follow-up and so on.