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endometrial biopsy

妇产

关键词妇产 技术手段 子宫内膜病变

词汇介绍

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解析

endometrial [ɛndʌ'mɛtrɪəl]

       adj. [解剖] 子宫内膜的

同根词   词根: endometrium

n.endometriosis [妇产] 子宫内膜异位  

endometrium [解剖] 子宫内膜

       Objective: To compare the curative effects between microwave endometrial ablation (MEA) and total hysterectomy for the treatment of menorrhagia. 目的:比较微波子宫内膜消除术(MEA)与经腹全子宫切除术治疗月经过多的疗效。

 

biopsy  英 ['baɪɒpsɪ]  美 ['baɪɑpsi]

       n. 活组织检查;活组织切片检查;切片检查法

       I think, in general, we biopsy less than before but I think that is also because we are making decisions around treatment. 我认为,总体上,我们做肝活检的次数比以前少了,但这也是因为我们是根据治疗情况做决定的

概述

子宫内膜活组织检查是一种医疗程序,涉及采集子宫内膜的组织样本,随后组织进行组织学评估。患有慢性无排卵的女性如多囊卵巢综合征患子宫内膜问题的风险增加,子宫内膜活检可能有助于评估其内层,以排除子宫内膜增生或癌症。鉴于子宫内膜活检可能有约10%的假阴性,如果高度怀疑子宫内膜癌或具有典型症状,子宫内膜活检阴性者,应在麻醉下再次分段诊刮、宫颈管搔刮,以减少漏诊。对有持续或者反复的未明确内膜病变的阴道流血者,宫腔镜辅助检查有助于判断子宫内膜病变的良恶性。子宫内膜活检并不能精确判断子宫内膜病变浸润深度,对

Hysterectomy with sentinel lymph node biopsy in the setting of pre-operative diagnosis of endometrial intraepithelial neoplasia: A cost-effectiveness analysis.复制标题

子宫切除术联合前哨淋巴结活检在子宫内膜上皮内瘤变术前诊断中的应用: 成本-效果分析。

发表时间:2018-12-15

影响因子:4.4

作者: Stephanie L. Lim

期刊:Gynecol. Oncol.

Endometrial intraepithelial neoplasia (EIN), also known as complex atypical hyperplasia (CAH), is a pre-malignant abnormality of the endometrium that has potential to develop into, or coexist with, endometrial cancer (EC). The incidence of EIN is 17 per 100,000 woman-years in the United States and is likely to rise due to increasing levels of obesity and an aging population. Published literature indicates that preoperative EIN coincides with EC in 17–50% of patients, and because of this risk, total hysterectomy is considered curative and appropriate treatment for patients who no longer desire fertility. While standard treatment is hysterectomy with intra-operative frozen section performed to assess for EC, there is little guidance on whether or not sentinel lymph node biopsies are warranted.

译文

子宫内膜上皮内瘤变(EIN),也称为复杂的非典型增生(CAH),是子宫内膜的恶变前异常,有可能发展成子宫内膜癌(EC)或与子宫内膜癌(EC)共存。 在美国,EIN的发病率为每10万女性年17例,并且由于肥胖水平的增加和人口老龄化可能会增加。 已发表的文献表明术前EIN与EC在17-50%的患者中是一致的,并且由于这种风险,全子宫切除术被认为是治愈性的,并且对于不再需要生育的患者是合适的治疗方法。 虽然标准治疗是子宫切除术,其中进行术中冰冻切片以评估EC,但是对于是否需要前哨淋巴结活组织检查几乎没有指导。