子宫内膜息肉的临床病理分析及与宫腔镜诊断的比较

Comparison between clinical pathological analysis of endometrial polyps and diagnosis of hysteroscopy

目的:比较子宫内膜息肉的病理学与宫腔镜诊断的符合率。方法:回顾性分析132例经病理诊断为子宫内膜息肉病例的临床表现、病理特点及经宫腔镜诊断的56例标本组织病理学形态。结果:132例子宫内膜息肉的病理形态多样,简单型增生过长占44%,增生反应占15%,囊性萎缩占13%,混合型增生过长占4%,局部腺癌占1%,分泌反应占23%,其宫腔镜与病理学诊断的符合率为25%。结论:宫腔镜检查与病理学检查相结合,可使子宫内膜息肉的诊断更趋完臻。

Objective:To compare the coincidence rate of clinical pathological analysis of endometrial polyps and diagnosis of hysteroscopy.Methods:Clinical menifetation and pathological features of 132 cases diagnosed as endometrial polyps by pathological diagnosis and histopathologic morphology of 56 cases diagnosed as endometrial polyps by hysteroscopy were retrospectively analyzed.Results:Of 132 cases of endometrial polyps with different pathological morphology, simplex hyperplasia accounted for 44%, proliferation 15%, cystic atrophy 13%, mixed hyperplasia 4 %, adenocarcinoma 1% and secretion 23%. The coincidence rate of clinical pathological analysis of endometrial polyps and diagnosis of hysteroscopy was 25%.Conclusion:Clinical pathological analysis combined with diagnosis of hysteroscopy could perfect the diagnosis of endometrial polyps.