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目的 :评价宫腔镜检查在子宫内膜癌诊断中的作用。方法 :采用宫腔镜检查 ,镜下子宫内膜活检 ,对234例绝经后子宫出血妇女经宫腔镜诊断为宫内膜癌的病例进行分析。结果 :234例绝经后子宫出血妇女中经宫腔镜检查后共行病理组织学检查179例 ,其中子宫内膜癌及癌前病变22例(12.29%) ,本组病例宫腔镜诊断子宫内膜癌及可疑癌与病理组织学检查的符合率为81.48 %。子宫良性病变与恶性病变其年龄及绝经年限分布比较均有显著性差异(P<0.01)。结论 :采用宫腔镜检查技术 ,结合病理组织学检查 ,对尽早确诊子宫内膜癌及癌前病变 ,具有临床意义。
Objective: To evaluate the role of hysteroscopy in the diagnosis of endometrial cancer. Methods: Hysteroscopy and endoscopic biopsy were performed to analyze the cases of endometrial cancer diagnosed by hysteroscopy in 234 cases of postmenopausal women with uterine bleeding. Results: Of the 234 postmenopausal women with uterine bleeding, 179 were histologically examined by hysteroscopy, including 22 cases of endometrial carcinoma and precancerous lesions (12.29%). Hysteroscopy in this group was used to diagnose uterus The coincidence rate of membranous carcinoma, suspicious carcinoma and histopathological examination was 81.48%. Uterine benign lesions and malignant lesions of their age and menopause distribution were significantly different (P <0.01). Conclusion: Hysteroscopy combined with histopathological examination has clinical significance for the early diagnosis of endometrial cancer and precancerous lesions.