摘要
目的:评价宫腔镜检查与组织病理学诊断子宫内膜结核的符合率与相关性。方法:回顾性分析2012年7月—2016年8月于首都医科大学附属复兴医院宫腔镜诊治中心就诊的有结核病史的99例不孕女性的病历资料,调取宫腔镜检查和子宫内膜病理结果,进行比较分析。结果:99例女性均行宫腔镜检查并同时行组织病理学检查,两者诊断符合率为46.7%,其中7例为宫腔镜检查与组织病理学检查一致检出子宫内膜结核,1例增殖期子宫内膜经宫腔镜识别存在结核但组织病理学检查未证实,8例组织病理学检查证实存在子宫内膜结核但宫腔镜下未检出;宫腔镜下检出不同程度宫腔粘连68例。结论:宫腔镜检查识别检出的子宫内膜结核必须经组织病理学证实方可诊断,宫腔镜检查有助于发现宫腔粘连。
Objective:To evaluate the coincidence and correlation between hysteroscopy and histopathological diagnosis of endometrial tuberculosis.Methods:A retrospective analysis of hysteroscopy data and histopathological result of 99 infertile women with a history of tuberculosis from July 2012 to August 2016 in the Hysteroscopy Center of Fuxing Hospital was performed.Results:In 99 women hysteroscopy was performed and histopathological examination was taken at the same time,the coincidence rate between them was 46.7%.7 cases of endometrial tuberculosis were identified by both hysteroscopy and histopathology,one case of proliferative endometrium was considered as endometrial tuberculosis by hysteroscopy but disproved by histopathology,and 8 other cases of endometrial tuberculosis were confirmed by histopathology but not identified by hysteroscopy.However,68 women with different degree of intrauterine adhesions were detected.Conclusions:The endometrial tuberculosis identified by hysteroscopy must be confirmed by histopathological diagnosis.Hysteroscopy helps to find intrauterine adhesions.
作者
刘琳琳
黄晓武
夏恩兰
LIU Lin-lin;HUANG Xiao-wu;XIA En-lan(Hysteroscopy Center,Fuxing Hospital Affiliated to Capitial Medical University,Beijing 100038,China)
出处
《国际妇产科学杂志》
CAS
2018年第2期203-206,共4页
Journal of International Obstetrics and Gynecology
