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目的研究宫腔镜检查后子宫内膜病理检查在子宫内膜病变诊断中的效果。方法 70例子宫内膜病变患者作为研究对象,均行宫腔镜检查后经子宫内膜活检或诊断性刮宫,观察宫腔镜检查结果和病理检查结果。结果宫腔镜检查结果:70例患者中28例为子宫内膜息肉,21例为息肉样增生,9例为子宫内膜增厚,6例为子宫肌瘤,3例为子宫畸形,2例为子宫宫腔粘连,1例为妊娠物残留。宫腔镜下子宫内膜厚度与病理检查结果 :70例患者中子宫内膜厚度在不同子宫内膜病变患者中存在较大差异,其中厚的总例数为22例,增生期子宫内膜并发腺体增生12例(54.55%),子宫内膜炎4例(18.18%),分泌期内膜6例(27.27%);中等的总例数为32例,包括增生期子宫内膜并发腺体增生16例(50.00%),子宫内膜炎4例(12.50%),分泌期内膜12例(37.50%);薄的总例数为16例,包括增生期子宫内膜并发腺体增生8例(50.00%),子宫内膜炎5例(31.25%),分泌期内膜3例(18.75%)。由诊断结果所知,宫腔镜下发现子宫息肉样病变31例,其中分泌期内膜24例(77.42%)所占比例较大,子宫内膜炎7例(22.58%)所占比例小,无子宫内膜癌。结论于宫腔镜检查后实施子宫内膜病理检查能够有效诊断、鉴别子宫内膜病变,提高诊断准确性,为临床治疗方案的选择提供数据支持。
Objective To study the effect of endometrial histopathology in the diagnosis of endometrial lesions after hysteroscopy. Methods Seventy patients with endometrial lesions were selected as study subjects. All patients underwent endometrial biopsy or diagnostic curettage after hysteroscopy, and the results of hysteroscopy and pathology were observed. Results Hysteroscopy results: 28 of 70 patients were endometrial polyps, 21 were polypoid hyperplasia, 9 were endometrial thickening, 6 were uterine fibroids, 3 were uterine malformations, 2 were uterine malformations Uterine Palace adhesions, 1 case of pregnancy residue. Hysteroscopic endometrial thickness and pathological examination results: 70 cases of endometrial thickness in patients with different endometrial disease there is a big difference, of which the total number of thick cases were 22 cases of proliferative endometrial complications 12 cases (54.55%) had glandular hyperplasia, 4 cases (18.18%) had endometritis, 6 cases (27.27%) secretory endometrium, and 32 cases had moderate total number of cases including proliferative endometrium with gland There were 16 cases (50.00%) of hyperplasia, 4 cases of endometritis (12.50%) and 12 cases of secretory endometrium (37.50%). The total number of thin cases was 16, including proliferative endometrial hyperplasia Cases (50.00%), endometritis in 5 cases (31.25%), secretory endometrium in 3 cases (18.75%). According to the results of the diagnosis, 31 cases of uterine polyps were found under hysteroscopy, among which 24 cases (77.42%) were secretory endometrium, 7 cases (22.58%) had small proportion of endometritis, No endometrial cancer. Conclusions The endometrial biopsy can effectively diagnose and identify endometrial lesions after hysteroscopy and improve the accuracy of diagnosis, providing data support for the selection of clinical treatment options.