Abstract:

Biopsy under hysteroscopy is more precise than curettage in the patients with early-stage endometrial cancer.In the meantime the lesion of cervical canal can be observed clearly，and doctors can make the initial staging，and through combining imaging procedures，doctors can make preliminary judgment of the range of tumor spread. Hysteroscopic operation with high dose of progesterone therapy，GnRH-a and Mirena can be used in the patients who try to reserve procreative function after strict screening.

Key words: endometrial tumor, hysteroscope, fertility-preserving treatment

摘要：

对于早期局灶型子宫内膜癌，宫腔镜直视下活检诊断比诊刮或分段诊刮更为准确，且能够观察宫颈是否受累，结合影像学可在术前初步判断肿瘤扩散范围。宫腔镜手术电切病灶后配合大剂量孕激素，促性腺激素释放激素激动剂（GnRH-a），宫腔内左炔诺孕酮释放系统（LNG-IUS）等，也可用于经严格选择的早期、年轻有生育需求的患者。

关键词: 子宫内膜肿瘤, 宫腔镜, 保留生育功能