国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (4): 410-413.

• 综述 • 上一篇    下一篇

子宫内膜癌诊断方法

马辛欣，王建六   

  1. 100044 北京大学人民医院妇产科[马辛欣（现工作于北京市航空总医院妇产科），王建六]
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-15 发布日期:2014-08-15

Diagnosis of Endometrial Cancer

MA Xin-xin，WANG Jian-liu   

  1. Department of Obstetrics and Gynecology，Peking University People′s Hospital，Beijing 100044，China[MA Xin-xin（now Working at Department of Obstetrics and Gynecology，Aviation General Hospital），WANG Jian-liu]
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-15 Online:2014-08-15

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摘要： 子宫内膜癌是原发于子宫内膜的上皮性恶性肿瘤，是女性生殖道三大恶性肿瘤之一。近年来其发病率有上升的趋势，尤其围绝经期及绝经后妇女，发病率更高。其多表现为异常阴道出血或阴道排液等，特别是对有高危因素者，应考虑到有子宫内膜癌的可能。多年来，国内外众多学者也在不断地探索子宫内膜癌的诊断方法。辅助检查包括超声、电子计算机断层扫描（CT）、磁共振成像（MRI）、宫腔镜检查（HS）、子宫内膜活检术及子宫内膜细胞学检查（ECT）和肿瘤标记物的检测等，应联合多种辅助检查来明确诊断。综述有关该病诊断的最新研究进展。

关键词: 子宫内膜肿瘤, 诊断, 危险因素, 超声检查, 磁共振成像, 宫腔镜检查

Abstract: Endometrial cancer is epithelial primary endometrial malignant tumors， is one of three malignant tumors in female genital tract. In recent years, its incidence is increasing，ｅspecially in perimenopausal and postmenopausal womeｎ，ｔｈe incidence of higher. The manifestations of abnormal vaginal bleeding or vaginal dischargｅ，ｅspecially for the high risk factoｒｓ， should be considered to have endometrial cancer may. Over the years, scholars are also constantly exploring the method of diagnosis in endometrial cancer at home and abroad. Auxiliary examination include ultrasound，computer tomography scanning (CT)， magnetic resonance imaging (MRI)， hysteroscopy (HS)， endometrial biopsy and endometrial cytology (ECT)， detection of tumor markers, it should be combined with a variety of examination to confirm the diagnosis. The latest research progress of the disease diagnosis was overviewed.

Key words: Endometrial neoplasms, Diagnosis, Risk factors, Ultrasonography, Magnetic resonance imaging, Hysteroscopy