子宫内膜癌常见漏诊、误诊原因回顾及分析.pdfVIP

.494. 中国医师杂志 2015 年4 月第 17 卷第4 期 JournaI of Chine甜 Phvsician.April2015. VoJ. 17 , No. 4 ·妇科专栏· 子宫内膜癌常见漏诊、误诊原因回顾及分析 董卫红王泽华 【摘要] 目的分析子宫内膜癌常见误诊、漏诊原因。方法 以子宫内膜癌和误诊、漏诊 为关键词在中国知网和 库进行检索。结果 有具体病史资料的患者37 例，其中因诊断性 刮宫结果假阴性，未及时诊断 10 例，占总数的27.0% ;将异常阴道出血诊断为妇科子宫良性疾病 14 例，占总数的37.8% ;因内膜癌的转移或继发症状掩盖原发症状而误诊 13 例，占总数35.1% 。结论 重视内膜癌的症状，警惕内膜癌的发生是减少子宫内膜癌漏诊和误诊的关键原因。 [关键词] 子宫内膜肿瘤/诊断:误诊 The main ca四es for the missed and delayed diagno曲。，f endometrial carcinolD8 Dong Weihong , Wang Zehua. Department 0/ Obstetrics αnd Gynecology , Union Hospital , Tongji Medical College , Huazhong University 0/ Science and Technology , Wuhan 43∞22 ， China Corresponding author: Wang Zehua , Email:zehuawang@163.net [ Abstract] 0时ective To investigate the main causes of the missed and delayed di咽losis of endo- metrial carcinomas. Me也ods Endometrial carcinoma and missed and delayed diagnosis were u回d 国 key 宵。rdsωsearch in the Chinese National Knowledge Infrastructure and Wanfang Data. R回I1ts There were 37 cases with details. Among these , 10 cases were caused by false negative DC (27. 0% of 由e to- tal); 14 cases were caused by misdiagnosis 挝 uterine benign disease (37.8% of 出e total) ; 13 cases were caused by the overl∞king of the primary symploms because of the advanced diseases. ConclusioDS Paying more allention to the s严nptoms of endometrial carcinomas is necess缸y 10 reduce Ihe missed and delayed di- agnosis of endometrial carcinoma. [ Key words 1 Endometrial neopl凶mslDI ;Diagnostic errors 2 结果 随着我国民众生活水平的提高及生活方式的改 37 例患者根据误诊、漏诊原因主要有以下四种 变，子宫内膜癌的发病率布上升趋势。因为子宫内 膜癌的主要症状与妇科其他疾病相似，同时也易与 (为保证资料的客观，表中所有症状、病理报告、诊 其他妇科疾病伴发，因此，临床上，子宫内膜癌误诊、