子宫内膜癌常见漏诊、误诊原因回顾及分析  

The main causes for the missed and delayed diagnosis of endometrial carcinoma

作　　者：董卫红[1] 王泽华[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院妇产科,武汉430022

出　　处：《中国医师杂志》2015年第4期494-497,共4页Journal of Chinese Physician

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万方数据库进行检索.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.Objective To investigate the main causes of the missed and delayed diagnosis of endometrial carcinomas.Methods ＂Endometrial carcinoma＂ and ＂missed and delayed diagnosis＂ were used as key words to search in the Chinese National Knowledge Infrastructure and Wanfang Data.Results There were 37 cases with details.Among these,10 cases were caused by false negative D＆amp;C （27.0% of the total）;14 cases were caused by misdiagnosis as uterine benign disease （37.8% of the total）;13 cases were caused by the overlooking of the primary symptoms because of the advanced diseases.Conclusions Paying more attention to the symptoms of endometrial carcinomas is necessary to reduce the missed and delayed diagnosis of endometrial carcinoma.

关 键 词：子宫内膜肿瘤/诊断 误诊 

分 类 号：R737.33[医药卫生—肿瘤]