摘要
目的研究宫腔镜应用于早期子宫内膜癌诊断的价值,探讨宫腔镜在诊断早期子宫内膜癌的安全性。方法回顾性分析2014年1月至2016年12月,浙江省立同德医院的早期子宫内膜癌患者32例,首先进行宫腔镜及病理诊断,再行开腹或腹腔镜手术治疗,统计宫腔镜诊断子宫内膜癌的诊断率,观察术后病理及冲洗脱落细胞情况。结果其中29例(90.62%)患者通过宫腔镜进行了初步明确,之后26例患者接受了手术,手术-病理分期显示,其中子宫内膜不典型增生7例,子宫内膜癌Ia期8例,子宫内膜癌Ib期8例,子宫内膜癌Ic期3例。根据病理类型划分26例患者,其中不典型增生7例,内膜样腺癌18例,混合癌1例。26例中无一例患者在腹腔冲洗液中发现癌细胞,其总阳性率为0。结论宫腔镜在诊断早期子宫内膜癌上,具有较高的临床应用价值,且安全性较高,可以作为替代分段诊刮的方式。
Objective To research value of hysteroscopy in diagnosis of early endometrial carcinoma,and discuss safety of it. Methods A retrospective study was carded out on 32 cases of early endometrial carcinoma in our hospital from Jan. 2014 to Dec. 2016. They accepted hysteroscopy andpathological diagnosis first , and then accepted open or laparoscopic treatment. It was counted thathysteroscopy was used to diagnosis early endometrial carcinoma , and then postoperative pathology and exfoliative cells detection was analyzed. Results Among them , 29 patients （90. 6 2 % ） were diagnosed by hysteroscopy , and 26 patients accepted operations. Intraoperative judgments after operations showed that7 cases of atypical hyperplasia of endometrium , 8 cases of Ia stage of endometrial cancer , 8 cases of lb stage , 3 cases of Ic stage. According to the pathological classification , there were 7 cases of atypical hyperplasia of endometrium , 18 cases of endometrioid adenocarcinoma, 1 case of mixed endometrial carcinoma. The rate of peritoneal fluid for cytology was 0 in all patients. Conclusions It has higher value that used to diagnosis early endometrial carcinoma,and safety is higher also,which can replace the endometrium piecewise diagnostic curettage.
出处
《中华腔镜外科杂志（电子版）》
2017年第3期160-162,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
关键词
子宫内膜不典型增生
子宫内膜癌
宫腔镜
脱落细胞
Atypical hyperplasia of endometrium
Endometrial cancer
Hysteroscopy
Exfoliative cells
