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目的:通过观察异位妊娠时子宫内膜变化,总结其变化的规律性,探讨子宫内膜活检对异位妊娠诊断的价值和意义。方法:总结分析97例表现为阴道不规则流血疑异位妊娠患者的子宫内膜变化和临床特点及两者之间的关系。结果:54.6%患者子宫内膜为蜕膜组织,10.3%患者子宫内膜表现为高度分泌反应,以上两种表现多见于子宫出血时间较短的病例。另外23.7%的患者子宫内膜部分分泌期、部分增殖期改变,11.3%患者子宫内膜呈增殖期改变,此两种表现见于异位妊娠不规则出血时间较久的病例。结论:对以往月经规律而停经和不规则子宫出血的患者,行诊断性刮宫子宫内膜表现上述改变而找不到绒毛组织应警惕异位妊娠,临床表现不典型的异位妊娠的诊断中各种辅助检查都有一定的误差,必须将临床表现和辅助检查结合起来全面分析,子宫内膜活检诊断异位妊娠具有其他辅助检查无法替代的价值。
Objective: To observe the changes of endometrium during ectopic pregnancy and summarize the regularity of its changes, and to explore the value and significance of endometrial biopsy in the diagnosis of ectopic pregnancy. Methods: The changes of endometrium and clinical features of 97 cases with suspected vaginal irregular blood flow in pregnancy were analyzed and analyzed. Results: The endometrium in 54.6% patients was decidual tissue, and the endometrium in 10.3% patients showed highly secreted reaction. The above two manifestations were more common in cases of shorter uterine bleeding time. Another 23.7% of patients with endometrial secretory phase, part of the proliferative phase changes, 11.3% of patients with endometrial proliferative phase changes, both of these manifestations of ectopic pregnancy in irregular bleeding time longer cases. Conclusion: In the past, menstrual regularity and menopausal bleeding and irregular uterine bleeding in patients with diagnostic curettage endometrial performance of the above changes can not find the villi should be alert to ectopic pregnancy, atypical clinical manifestations of ectopic pregnancy diagnosis Auxiliary examination of the species has a certain error, we must combine the clinical manifestations and laboratory examinations a comprehensive analysis of endometrial biopsy diagnosis of ectopic pregnancy with other auxiliary tests irreplaceable value.