宫腔镜手术联合诊断在中老年子宫内膜癌患者中临床对比研究.docVIP

宫腔镜手术联合诊断在中老年子宫内膜癌患者中临床对比研究 　　[摘要] 目的 探?宫腔镜手术联合诊断在中老年子宫内膜癌患者诊断中的应用价值。 方法 选取我院妇产科2010年1月～2017年1月期间诊治的子宫内膜癌患者共185例，根据诊断方法分为观察组（宫腔镜组）和对照组（分段诊刮组），比较两组病例一般情况、子宫内膜活检病理与术后病理符合率及术前联合评估分期与手术病理分期结果比较的准确率。 结果 观察组97例，对照组88例。两组病例年龄段构成、BMI、手术病理分期和术后病理类型构成比差异无统计学意义（P0.05）；观察组术前诊断与术后病理符合94例（96.9%）（其余2例漏诊，1例病理类型不符），高于对照组的78例（88.6%）（其余7例漏诊，3例病理类型不符）（P0.05）。结论 对中老年子宫内膜癌患者应用宫腔镜手术联合诊断，与常规分段诊刮方法相比，提高了诊断效能，有利于综合评估病情，具有重要临床价值。 　　[关键词] 宫腔镜手术；子宫内膜癌；联合诊断；分期 　　[中图分类号] R737.3 [文献标识码] B [文章编号] 1673-9701（2018）07-0060-04 　　[Abstract] Objective To evaluate the value of hysteroscopic surgery in the diagnosis of middle-aged and elderly patients with endometrial cancer. Methods A total of 185 cases of endometrial cancer diagnosed and treated in the Department of Obstetrics and Gynecology of our hospital from January 2010 to January 2017 were selected and divided into observation group （hysteroscopy group） and control group（fractional curettage group）. The general situation of two groups of patients， the coincidence rate between endometrial biopsy pathology and postoperative pathology and the accuracy of preoperative joint assessment staging and surgical pathology staging results were analyzed and compared. Results There were 97 cases in the observation group and 88 cases in the control group. There was no significant difference in the composition of age， BMI， pathological stage of the operation and postoperative pathological type between the two groups（P0.05）. There were 94 cases of coincidence of the preoperative diagnosis and postoperative pathology of the observation group （96.9%） （the other 2 cases with misdiagnosis， and 1 case not matching pathological type）， higher than 78 cases （88.6%） in the control group （the other 7 cases with misdiagnosis， and 3 cases not matching pathological type） （P0.05）. Conclusion The application of hysteroscopy combined diagnosis in middle-aged and elderly patients with endometrial cancer improves the diagnostic efficacy， compared with conventional fractional cur