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子宫内膜癌发病率逐年上升,寻找有效诊治手段愈显重要。宫腔镜检查直观、可定位活检,已成为子宫内膜癌诊断和分期的重要手段。宫腔镜检查可提高早期子宫内膜癌诊断率,但是否引起癌细胞腹膜腔内扩散有争议。利用宫腔镜注射追踪剂探测前哨淋巴结安全可行,可为子宫内膜癌的治疗提供新手段。宫腔镜手术微创,可保留子宫,不破坏盆腔解剖结构,不影响卵巢功能,已逐渐尝试性用于治疗有手术禁忌证的子宫内膜癌患者。宫腔镜检查还可用于子宫内膜癌腔内放疗前准确定位、放疗后观察疗效与随访。
The incidence of endometrial cancer increased year by year, to find an effective diagnosis and treatment means more important. Hysteroscopy intuitive, biopsy can be located, has become an important means of diagnosis and staging of endometrial cancer. Hysteroscopy can improve the early diagnosis of endometrial cancer, but whether to cause proliferation of cancer cells peritoneal cavity controversial. The use of hysteroscopy injection tracer detection of sentinel lymph nodes safe and feasible, may provide a new means for the treatment of endometrial cancer. Hysteroscopic surgery minimally invasive, can retain the uterus, does not undermine the anatomy of the pelvis, does not affect ovarian function, has gradually been tentative for the treatment of surgical contraindications to endometrial cancer patients. Hysteroscopy can also be used for accurate positioning of endometrial cancer cavity before radiotherapy, radiotherapy to observe the efficacy and follow-up.