论文部分内容阅读
目的:探讨宫腔镜在诊断绝经后妇女子宫内膜病变中的临床价值。方法:回顾性分析160例行诊断性刮宫或宫腔镜检查的绝经患者,分析宫腔镜组(90例)与诊刮组(70例)的手术指征、术前超声与术后病理诊断等。结果:宫腔镜与诊刮术相比,在超声提示内膜厚或宫腔占位的患者中均有较高的病变检出率。其中6例宫腔镜诊为内膜恶性病变的患者,腹水中未找到瘤细胞。结论:宫腔镜损伤小、阳性检出率高,不易造成肿瘤细胞的盆、腹腔扩散,适宜广泛应用于子宫内膜病变的诊断。
Objective: To investigate the clinical value of hysteroscopy in the diagnosis of endometrial lesions in postmenopausal women. Methods: A retrospective analysis of 160 patients with diagnostic curettage or hysteroscopy in postmenopausal patients, analysis of hysteroscopic group (90 cases) and curettage group (70 cases) indications for surgery, preoperative ultrasound and postoperative pathological diagnosis Wait. Results: Compared with curettage, hysteroscopy had a higher detection rate of lesions in patients with endometrial thickness or intrauterine space occupying by ultrasound. Of which 6 cases of hysteroscopic diagnosis of endometrial malignant lesions in patients with ascites did not find tumor cells. Conclusion: Hysteroscopy is small, positive detection rate is high, not easy to cause the tumor cells to pelvic and abdominal cavity proliferation, suitable for the diagnosis of endometrial lesions.