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目的探讨子宫内膜癌的有效快速诊断方法。方法对2001.3～2006.12宫腔镜检查,内膜活检的2070例及确诊子宫内膜癌25例的宫腔镜下图像进行回顾性分析。结果宫腔镜诊断子宫内膜癌的敏感性为100%。25例子宫内膜癌中,5例为弥漫型,表现病灶凹凸不平,表面有曲折异型血管。18例局限型,镜下表现为病灶型态不规则,有曲折异型血管的宫腔赘生物。有2例表现宫腔点状出血灶,追踪检查,病理确诊子宫内膜癌。结论宫腔镜检查并行子宫内膜活检、病理检查是诊断子宫内膜癌的有效快捷方法。宫腔镜下对子宫内膜炎的诊断要慎重,对宫腔镜下的出血病灶,必须追踪检查,以防子宫内膜癌的漏诊。
Objective To investigate the effective and rapid diagnosis of endometrial cancer. Methods The hysteroscopic images of hysteroscopy, endometrial biopsy and 25 cases of endometrial carcinoma from 2001.3 to 2006.12 were analyzed retrospectively. Hysteroscopy diagnosis of endometrial cancer sensitivity was 100%. 25 cases of endometrial cancer, 5 cases were diffuse, the performance of uneven lesions, tortuous abnormal blood vessels on the surface. 18 cases of localized type, the performance of microscopic lesions were irregular, there are tortuous vessels of the uterine cavity vegetation. There are 2 cases of intrauterine punctate hemorrhage, follow-up examination, pathological diagnosis of endometrial cancer. Conclusion Hysteroscopy parallel endometrial biopsy, pathological examination is an effective and rapid method of diagnosis of endometrial cancer. Hysteroscopic diagnosis of endometritis to be cautious, the hysteroscopic bleeding lesions, must be tracked to prevent the missed diagnosis of endometrial cancer.