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目的:探讨宫腔镜检查在妊娠滋养细胞疾病(gestational trophoblastic disease,GTD)诊治过程、恶性肿瘤子宫肌层浸润的确认及治疗转归过程中的作用。方法:回顾性分析32例GTD患者的宫腔镜检查资料。结果:32例GTD患者中,14例为葡萄胎清宫后患者,其中10例在宫腔镜下见到水泡状组织残留并予一次性清除,4例宫腔内未见水泡样组织残留;18例为妊娠滋养细胞肿瘤(gestational trophoblastic neoplasia,GTN),7例行子宫切除术,术后病理与宫腔镜检查符合率100%,11例行化疗,其中2例行2次以上的宫腔镜检查,化疗后均见病灶明显缩小直至消失。32例患者均无宫腔镜检查并发症。结论:宫腔镜检查结合B超对于葡萄胎清宫残留物、GTD浸润肌层病灶有诊断意义,可辅助用于观察化疗疗效,对于治疗转归及预后有参考价值。
Objective: To explore the role of hysteroscopy in the diagnosis and treatment of gestational trophoblastic disease (GTD), the invasion of myometrial invasion in malignant tumors and the prognosis of treatment. Methods: The data of hysteroscopy in 32 patients with GTD were retrospectively analyzed. Results: Of the 32 patients with GTD, 14 were hydatidiform mole after radical mastectomy. Among them, 10 patients underwent hysteroscopy to remove the vesicular tissue residue and one time to remove them, while 4 patients did not have vesicle-like tissue residue. 18 Cases of gestational trophoblastic neoplasia (gestational trophoblastic neoplasia, GTN), 7 cases of hysterectomy, postoperative pathology and hysteroscopy consistent rate of 100%, 11 cases of chemotherapy, of which 2 cases of more than 2 times hysteroscopy Check, chemotherapy lesions were significantly reduced until disappear. None of the 32 patients had hysteroscopy complications. Conclusion: Hysteroscopy combined with B-ultrasonography for the diagnosis of residual remnants of the pelvis and GTD infiltrating myometrial lesions may be helpful in observing the curative effect of chemotherapy and has reference value for treatment outcome and prognosis.