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宫腔镜下子宫内膜活检提高了子宫内膜癌诊断的准确率,可能导致癌细胞的逆行性扩散,但对预后无明显影响。宫腔镜下癌灶切除术联合孕激素治疗为有生育要求的早期患者带来新的治疗方法。腹腔镜下全面分期手术应用于早期子宫内膜癌的治疗是安全可行的,且具有术中出血及术后疼痛少,住院时间短,恢复快,术后感染、盆腹腔粘连及淋巴囊肿形成少,生活质量高等优点,对患者预后无不良影响。术中举宫器的使用尚有争议。
Hysteroscopic endometrial biopsy improves the accuracy of the diagnosis of endometrial cancer may lead to the retrograde proliferation of cancer cells, but no significant effect on the prognosis. Hysteroscopic resection combined with progestin therapy brings new therapeutic options to early patients with reproductive requirements. Laparoscopic total staging surgery for the treatment of early endometrial cancer is safe and feasible, and has intraoperative bleeding and less postoperative pain, shorter hospital stay, rapid recovery, postoperative infection, pelvic adhesions and lymphatic cyst formation less , The advantages of high quality of life, no adverse effect on the prognosis of patients. Intraoperative use of uterine apparatus is still controversial.