关键词: 子宫内膜, 结核, 女性生殖器, 结核, 宫腔镜检查, 活组织检查

Abstract: 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.

Key words: Endometrium, Tuberculosis, female genital, Tuberculosis, Hysteroscopy, Biopsy