国际妇产科学杂志

国际妇产科学杂志 ›› 2010, Vol. 37 ›› Issue (2): 77-80.

• 述评 •    下一篇

子宫内膜癌的侵袭性诊断技术应用现状

汪希鹏   

  1. 200040 上海，同济大学附属第一妇婴保健院妇科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2010-04-15 发布日期:2010-04-15

Current Status of Invasive Techniques Used in Diagnosis of Endometrial Cancer

WANG Xi-peng   

  1. Department of Gynecology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200040, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2010-04-15 Online:2010-04-15

PDF (PC)

4866

被引次数

25

摘要： 诊断子宫内膜癌唯一的方法是通过侵袭性操作获取子宫内膜组织后进行病理诊断。在中国，分段诊刮和宫腔镜是检查子宫内膜最主要的方式。分段诊刮应用广泛、操作方便、但仍有子宫内膜癌漏诊或者过低诊断的问题，如在超声辅助下操作，诊断效率有提高；宫腔镜联合直视下子宫内膜活检是最准确的子宫内膜病变检查方法。目前还没有证据表明，宫腔镜操作引起的肿瘤阳性腹腔冲洗液与盆腹腔肿瘤复发和远期预后不良有关。

关键词: 子宫内膜癌, 诊断, 分段诊刮, 宫腔镜, 预后

Abstract: The diagnosis of endometrial cancer was based on pathologic exam on endometrial tissue obtained from invasive methods. Fraction dilatation and curettage（D&C） and hysteroscopy were the major interventions. D&C was the most widely-used method, however, it is low-efficiency and result in missed diagnosis and lower diagnosis of endometrial cancer. If assisted with B ultrasound, the efficiency of could be enhanced relatively. Hysteroscopy combined with biopsy is the most accurate exam in endometrial diseases. Currently, no absolutely data indicated that positive peritoneal washing due to hysteroscopy was associated with pelvic or peritoneal recurrence and long-term adverse prognosis.

Key words: Endometrila cancer, Diagnosis, Dilatatinon and curettage, Hysteroscopy, Prognosis