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目的探讨宫腔镜检查在子宫内膜癌及癌前病变筛查中的临床意义。方法选取我院妇产科2007年12月-2013年3月门诊宫腔镜检查后行子宫内膜活检并送病理诊断患者157例,对照组为同时期就诊的宫腔镜检查禁忌症患者78例,行单纯分段诊刮术。结果两组在病理结果为正常子宫内膜、子宫内膜良性病变的比较无统计学差异;在病理结果为子宫内膜不典型增生、子宫内膜癌的比较有统计学差异。结论宫腔镜可以提高子宫内膜病理检查准确性,并能及时指导疾病后期治疗。
Objective To investigate the clinical significance of hysteroscopy in the screening of endometrial cancer and precancerous lesions. Methods 157 cases of endometrial biopsy and pathological diagnosis were selected from the obstetrics and gynecology department of our hospital from December 2007 to March 2013. The control group was contraindicated in the hysteroscopy 78 For example, simple segmental curettage. Results There was no significant difference between the two groups in the pathological results of normal endometrium and endometrial benign lesions. The pathological findings were endometrial atypical hyperplasia and endometrial carcinoma with statistical difference. Conclusion Hysteroscopy can improve the accuracy of pathological examination of endometrium, and can guide the late treatment of disease in time.