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通过三年来对门诊1546例以诊断性刮宫为手段的内膜活检,进行临床与病理分析,作出评价.600例不孕症中内膜结核占所有结核之13/19.234例内膜增生症中腺型增生10例,2例症状未改善,切除子宫为子宫内膜乳头状腺癌.子宫出血者518例中内膜癌仅一例,而绝经期后子宫出血者111例中内膜为12例占10.9%,两组有非常显著差异(P<0.001).本文内膜活检阳性率为84.6%.因此,内膜活检手术简便,检出率高,合并症少是早期发现内膜癌切实可行的安全可靠方法.
Through three years of outpatient 1546 cases with diagnostic curettage as a means of endometrial biopsy, clinical and pathological analysis, to make an evaluation of 600 cases of infertility in endometrial tuberculosis accounted for all tuberculosis of 13/19.234 cases of neointimal hyperplasia Type hyperplasia in 10 cases, 2 cases did not improve the symptoms, removal of the uterus for endometrial papillary adenocarcinoma, uterine bleeding in 518 cases of endometrial cancer only one case, and postmenopausal uterine bleeding in 111 cases of endometrium in 12 cases accounted for 10.9%, there was a significant difference between the two groups (P <0.001) .The positive rate of endometrial biopsy was 84.6% .Therefore, the endometrial biopsy is simple, the detection rate is high, fewer complications are early detection of endometrial cancer is feasible Safe and reliable method.