宫腔镜辅助下分段诊刮术与单纯分段诊刮术诊断子宫内膜癌的比较研究  

Comparison of Hysteroscope Assisted Dilation & Curettage and Traditional Dilation & Curettage in Diagnosis of Endometrial Carcinoma

作　　者：舒文[1] 胡丽娜[2] 

机构地区：[1]重庆医科大学附属第二医院妇产科,重庆400010 [2]四川大学华西第二医院,四川成都610041

出　　处：《现代生物医学进展》2008年第3期499-500,510,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨宫腔镜辅助下分段诊刮术在子宫内膜癌术前诊断中的意义。方法:回顾性分析140例术前诊断为子宫内膜癌患者的临床资料,分析术前临床分期、手术-病理分期、术后病理诊断、腹水细胞学检查等。结果:1.宫腔镜辅助下子宫内膜活检术组(组1)62例手术前后病理诊断符合率98.4%,单纯分段诊刮术组(组2)78例手术前后病理诊断符合率87.2%,两组比较差异有统计学意义;2.组1和组2手术前后分期诊断符合率比较,差异有统计学意义;3.组1和组2腹水或腹腔冲洗液细胞学检查阳性率分别为4.8%和5.1%,两组比较,差异无统计学意义。结论:宫腔镜辅助下分段诊刮术诊断子宫内膜癌安全、可靠,优于单纯分段诊刮术,值得临床推广应用。Objective： To investigate diagnosis of endometrial carcinoma by endometrial biopsy assisted with hysteroscope. Methods： 140 cases of endometrial carcinoma were analyzed retrospectively, items included clinical stage, operation-pathologic stage, pathologic diagnosis in postoperation and cytologic examination of ascites. Results： It was found that significant difference between group 1 （62 cases, diagnosis of endometrial carcinoma by endometrial biopsy assisted With hysteroscope） with coincidence rate 98.4% and group 2 （78 cases, diagnosis of endometrial carcinoma by dilation ＆ curettage） with coincidence rate 87.2% before and after operation. It was found that significant difference in coincidence rate of stages before and after operation between group 1 and group 2. The positive rates of cytologic examination of ascites were 4.8% and 5.1% in group 1 and group 2 respectively without significant difference. Conclusions： It demonstrates that diagnosis of endometrial carcinoma by endometrial biopsy assisted with hysteroscope is safer and more credible than dilation ＆ curettage, and which is worthy of clinical application.

关 键 词：子宫内膜癌 宫腔镜 诊断性刮宫 

分 类 号：R737.33[医药卫生—肿瘤]