宫腔镜辅助下分段诊刮在子宫内膜癌检查中的应用-现代生物医学进展.pdfVIP

2132 · · 现代生物医学进展 Progress in Modern Biomedicine Vol.11 NO.11 JUN.2011 宫腔镜辅助下分段诊刮在子宫内膜癌检查中的应用评价 金治娟 佘蕴秀 宋建红 时 玲 董晓娟 （上海市第六人民医院金山分院 妇产科上海201500） 摘要目的：评价宫腔镜辅助下分段诊刮在子宫内膜癌检查中的临床价值，探讨提高子宫内膜癌诊断准确性的检查方法。方法：选 132 59 73 择经分段诊刮诊断为子宫内膜癌患者 例， 例患者分为对照组，术前采取单纯分段诊刮的方式； 例患者分为观察组，术前 采取宫腔镜辅助下分段诊刮的方式。根据术后患者病理检查结果，比较两组患者术前诊断的准确性及术中腹腔冲洗液细胞阳性 率。结果：观察组检查方式的准确性优于对照组，差异具有统计学意义(P＜0.05)，两组术中腹腔冲洗液细胞阳性病例比较，差异无 统计学意义(P＞0.05)。结论：宫腔镜辅助下分段诊刮的方式可提高子宫内膜癌检查的准确性，且不增加肿瘤细胞散播的风险。 关键词：宫腔镜；辅助；分段诊刮；子宫内膜癌；临床评价 R737.33 A 1673-6273 2011 11-2132-03 中图分类号： 文献标识码： 文章编号： （ ） Clinical Evaluation of Hysteroscopy Assisted Segment Curettage in Endometrial Cancer JIN Zhi-j uan, SHE Yun -xiu, SONG Jian -hong, SHI Ling, GONG Xiao-j uan (Jinshan branch of shanghai sixth p eop le s hosp ital, Obstetrics and Gynecology Dep artment, 20 1500, Shanghai, China) ABSTRACT Obj ective: To evaluate the clinical effect of hysteroscopy assisted segment curettage in the endometrial cancer and re- search the check methods to improve the diagnostic accuracy. Method: Collect 132 endometrial cancer patients with the segment curet- tage, 59 patients were divided into the control group with the simple segment curettage,73 patients were divided into the observation group with the hysteroscopy and segment curettage.According to the postoperative pathologic examination results,compare the preopera- tive diagnosis accuracy and positive rate of intraoperative peritoneal fluid cells. Result: The observation groups diagnostic accuracy was better than the control groups, there was a statistical significant(P ＜0.05) in them, there was no statistical significant(P ＞0.05) in the pos- itive patients of intraoperative pe