在诊断有症状的子宫内膜癌和子宫内膜增生时，刮宫术失败后行宫腔镜检查及选择性子宫内膜取样。
Hysteroscopy with selective endometrial sampling after unsuccessful dilatation and curettage in diagnosis of symptomatic endometrial cancer and endometrial hyperplasias.
作者信息
Spiewankiewicz B, Stelmachów J, Sawicki W, Kietlinska Z
机构信息
I Department Obstetrics and Gynaecology University Hospital, Warsaw, Poland.
出版信息
Eur J Gynaecol Oncol. 1995;16(1):26-9.
We report the incidence of endometrial hyperplasia and endometrial cancer recognised by hysteroscopy in 202 patients with recurrent abnormal uterine bleeding. In all these women previously performed dilatation and curettage was unsuccessful. Endoscopy connected with direct biopsy allowed us to recognise in 26 (12.9%) patients pathological endometrial lesions in 19 of cases endometrial hyperplasia (with or without cell atypia) and in 7 patients endometrial cancer. The hysterosocpically recognised abnormalities in more than 70% were focal. Hysteroscopy with selective endometrial biopsy, performed after unsuccessful curettage is an essential tool in the diagnosis of recurrent abnormal uterine bleeding caused by pathological endometrial lesions.
我们报告了202例复发性异常子宫出血患者经宫腔镜检查确诊的子宫内膜增生和子宫内膜癌的发病率。所有这些女性此前进行的刮宫术均未成功。内镜检查结合直接活检使我们在26例（12.9%）患者中识别出病理性子宫内膜病变，其中19例为子宫内膜增生（有或无细胞异型性），7例为子宫内膜癌。宫腔镜检查发现的异常中，超过70%为局灶性。在刮宫术失败后进行的宫腔镜选择性子宫内膜活检是诊断由病理性子宫内膜病变引起的复发性异常子宫出血的重要工具。
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