宫腔镜对子宫内膜癌诊断和癌细胞盆腹腔播散的影响

The Advances of Clinical Researches of Hysteroscopy in Diagnosis and Peritoneal Dissemination of Tumor Cell in Patients with Endometrial Carcinoma

近年宫腔镜检查已成为一种诊断子宫内膜病变的首选方法,对可疑病变进行宫腔镜直视下定位活检,不仅避免了宫腔搔刮的盲目性,而且可提高诊断子宫内膜病变的准确率。多数研究结果认为,宫腔镜检查不会增加子宫内膜癌细胞腹腔播散的危险性,对患者的生存预后也无不利影响。

Hysteroscopy has been considered to be a gold standard for the diagnosis of endometrial carcinoma.Hysteroscopy and guided biopsy can be performed to accurate the diagnosis of endometrial carcinoma by avoiding blinding curettage.Many studies report that diagnostic hysteroscopy didn＇t increase the risk of positive peritoneal cytology,and also had no adverse effect on prognosis in endometrial cancer patients.This is a review about the diagnostic accuracy and advances of whether hysteroscopy could increase the risk of positive peritoneal cytology in endometrial cancer patients.