摘要
目的探讨宫腔镜辅助分段诊刮术在子宫内膜癌诊断中的应用价值。方法回顾性分析1998年10月～2008年10月在该院就诊的子宫内膜癌患者72例,分为单纯分段诊刮(A)组32例及宫腔镜辅助下的分段诊刮(B)组40例,比较两组术前诊断子宫内膜癌的准确率。结果对宫颈受累估计的准确率,B组明显高于A组(P<0.05),而宫颈未受累估计的准确率及腹腔冲洗液细胞学的阳性率,两组间比较差异无显著性(P>0.05)。结论宫腔镜辅助分段诊刮术能提高子宫内膜癌患者诊刮术中诊断的准确率,能较确切了解子宫内膜癌患者的宫颈受累情况,且不增加患者腹腔冲洗液细胞学检查的阳性率。
【Objective】To discuss the value of hysteroscopy and dilatation and curettage （D C） in endometrial carcinoma diagnosis. 【Methods】72 endometrium carcinoma patients were invided into two groups, examined by D C （group A, 32 patients） or hysteroscopy （group B, 40 patients）. The diagnosis＇s veracity of the two groups was compared.【Results】To estimate the involvement of cervical canal, the accuracy of group B was higher than that of group A （P 0.05）. The positive rate of peritoneal cytology examination and the accuracy of estimating the no involvement of cervical canal were comparable in the two groups （P 0.05）.【Conclusion】To find the involvement of cervical mucosa with endometrial carcinoma, hysteroscopy can improve the accuracy, and does not increase the positive rate of peritoneal cytology examination.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第10期1086-1088,共3页
China Journal of Endoscopy
关键词
子宫内膜癌
分段诊刮术
宫腔镜
endometrial carcinoma
dilatation and curettage
hysteroscopy
