子宫内膜增生症的诊断进展
子宫内膜增生症是一种较为常见的妇科疾病,越来越趋于年轻化,影响众多女性的健康。目前,评估子宫内膜的方法有如下几种：经阴道超声检查（TVS）、盐水灌注的超声宫腔造影术（SIS）、宫腔镜检查（HYS）＋定向活检、诊断性刮宫、Pipelle子宫内膜取样器。TVS对筛查和诊断分流起关键作用,是评估育龄妇女子宫内膜的一线诊断工具。SIS用于评估宫腔内膜的局部病变,是一种安全、经济高效、易用的工具。HYS和定向活检是评估子宫内膜的＂金标准＂。目前尚无证据表明,任何使用流体的宫内诊断过程可能使子宫内膜癌细胞进入腹膜,导致疾病恶化或预后不佳。Pipelle取样器是不需要麻醉的子宫内膜的真空取样,其诊断的准确率...
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| Published in | 国际妇产科学杂志 Vol. 42; no. 1; pp. 38 - 41 |
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| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
新疆医科大学第一附属医院妇科,乌鲁木齐市,830054
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1674-1870 |
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| Summary: | 子宫内膜增生症是一种较为常见的妇科疾病,越来越趋于年轻化,影响众多女性的健康。目前,评估子宫内膜的方法有如下几种：经阴道超声检查（TVS）、盐水灌注的超声宫腔造影术（SIS）、宫腔镜检查（HYS）＋定向活检、诊断性刮宫、Pipelle子宫内膜取样器。TVS对筛查和诊断分流起关键作用,是评估育龄妇女子宫内膜的一线诊断工具。SIS用于评估宫腔内膜的局部病变,是一种安全、经济高效、易用的工具。HYS和定向活检是评估子宫内膜的＂金标准＂。目前尚无证据表明,任何使用流体的宫内诊断过程可能使子宫内膜癌细胞进入腹膜,导致疾病恶化或预后不佳。Pipelle取样器是不需要麻醉的子宫内膜的真空取样,其诊断的准确率与诊断性刮宫基本一致,是在当前实践中最微创的方法。 |
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| Bibliography: | Endometrial hyperplasia is one of the most common gynecological diseases,which affects a large number of women′s health. Most patients are more and more tend to be younger women. At present,there are several methods to evaluate endometrium, such as transvaginal sonography（TVS）,saline infusion sonohysterography（SIS）,hysteroscopy（HYS） ＋stereotactic biopsy,dilatation and curettage,Pipelle endometrial sampling device. TVS plays a key role in screening and diagnosing of endometrial hyperplasia,which is a diagnostic tool for evaluating endometrium in women of reproductive age. SIS is used to assess local lesions of endometrial cavity,which is a safe,cost-effective,easy to use tool. HYS and stereotactic biopsy is the ＂gold standard＂ for assessment of endometrium. There is no evidence that any use of intrauterine fluid diagnostic process may make endometrial cancer cells into the peritoneum,which results in deterioration of the disease or reduce prognosis of endometrial hyperplasia. Pipelle endometrial sampling witho |
| ISSN: | 1674-1870 |