异位妊娠326例子宫内膜变化临床病理分析

Clincopathological analysis of the endometrial changes in 326 cases of eccyesis

目的:探讨异位妊娠时子宫内膜形态变化及对早期异位妊娠诊断的参考价值。方法:回顾分析我院326例异位妊娠患者因住院时未确诊,经B超测得子宫内膜厚度>10mm者,行诊断性刮宫术,内膜组织送病理学活检。结果:异位妊娠子宫内膜形态变化多种多样,但无绒毛及滋养叶细胞,结合动态监测血HCG结果,有助异位妊娠早诊断、早治疗。

Objective： To explore the histopathological change of endometria in eecyesis and it＇s significance of diagnosis of early eccyesis. Methods： Looked back on the 326 cases of patients, who didn＇t gain a definite diagnosis when hospitalized but later found the endometria were more than lO centremeter thick by B-ultrasonography inspection, were performed diagnostic uterine curettage and the endomysium tissues were conducted histopathological evaluation. Results： Various histopathological changes have been found in the endometria of eccyesis uterine, but there emerge no chorionic and trophoblastic ceils. These symptoms of endornetria of eecyesis uterine, combined with regimemoni- toring, will be helpful for early diagnosis and therapy of eecyesis.