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价值

目的:探讨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价值。方法:对2010年9月～2011年6月门诊宫腔镜检查后子宫内膜活检或诊断性刮宫372例患者进行总结分析。结果:增生期内膜伴部分腺体增生过长、分泌期内膜、子宫内膜炎者宫腔镜下子宫内膜厚度均有多种表现,但厚度差异有统计学意义(P<0.05),分泌期内膜、子宫内膜息肉者,宫腔镜诊断为子宫内膜息肉样增生者增多,子宫内膜癌、子宫内膜炎者,宫腔镜诊断为子宫内膜息肉样增生者较少,差异有统计学意义(P<0.05),宫腔镜检查为正常者,病理检查有多种表现。结论:宫腔镜检查后子宫内膜病理检查可提高对子宫内膜病变诊断的准确性,为后续治疗提供准确依据。

Value of endometrial pathology in diagnosis of endometrial lesions after hysteroscopy

Objective:To investigate the value of endometrial pathology in diagnosis of endometrial lesions after hysteroscopy.Methods:To analyze the clinical data of 372 cases who received endometrial biopsy or diagnostic curettage after hysteroscopy from September 2010 to June 2011.Results:The hysteroscopic appearance of endometrial thickness was variable in patients with proliferative endometrium accompanied by partial endometrial hyperplasia.The multiple hysteroscopic appearances were also observed in patients with secretory endometrium or endometriosis(P<0.05).Polypoid endometrium was frequently seen in patients with secretory endometrium or endometrial polyp but was less seen in those with endometrial carcinoma and endometriosis(P<0.05).Normal hysteroscopic appearances of endumetrium can have various pathological results.Conclusion:Endometrial biopsy or dilation and curettage after hysteroscopy can make correct diagnose of endometrial lesions and provide accurate basis for the follow-up treatment.