Journal of International Reproductive Health/Family Planning ›› 2021, Vol. 40 ›› Issue (5): 411-414.doi: 10.12280/gjszjk.20210040

• Review • Previous Articles     Next Articles

Application Value of Hysteroscopy in Diagnosis of Adenomyosis

CHEN Chao, ZHANG Ying()   

  1. Gynecology Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing 100006, China
  • Received:2021-01-22 Published:2021-09-15 Online:2021-09-29
  • Contact: ZHANG Ying E-mail:zyandzm@ccmu.edu.cn

Abstract:

Adenomyosis is a high incidence of disease which seriously endangers women′s health. It is difficult to diagnosis in the early stage. Hysteroscopy can be used to identify specific or nonspecific lesions in the uterine cavity of patients with adenomyosis, sometimes being subtle and characteristic lesions. These lesion include endometrial invagination, vascular hyperplasia, endometritis, uterine compression and cystic adenomyosis. Therefore, hysteroscopy plays an important role in the diagnosis of adenomyosis. Hysteroscopy combined with ultrasound can improve the diagnostic rate of hysteroscopy for adenomyosis, and help to determine the size, location and depth of lesions. Under the guidance of ultrasound, hysteroscopic biopsy can obtain the tissue of the endometrial-myometrial interface for histopathology, which is the most valuable minimally invasive diagnostic method for adenomyosis. This method provides the possibility of individualized treatment for those adenomyosis patients with fertility requirements or desire to preserve the uterus.

Key words: Adenomyosis, Hysteroscopes, Hysteroscopy, Ultrasonography, Diagnosis, Image-guided biopsy