负压型子宫内膜取样器与分段诊刮术对子宫内膜癌患者宫颈受累的诊断价值  

The diagnostic value of negative pressure endometrial extractor and segmented curettage for cervical involvement in patients with endometrial cancer

作　　者：杨秋平 李莹莹 宋旭东 YANG Qiuping;LI Yingying;SONG Xudong(Department of Pathology,North China University of Science and Technology Affiliated Hospital,Tangshan 063000,Hebei,China;Department of Pathology,Tangshan Maternal and Child Health Hospital,Tangshan 063000,Hebei,China)

机构地区：[1]华北理工大学附属医院病理科,河北唐山063000 [2]唐山市妇幼保健院病理科,河北唐山063000

出　　处：《癌症进展》2021年第7期733-736,共4页Oncology Progress

基　　金：河北省教育厅科研基金项目(KCJSZ2020062)。

摘　　要：目的探讨负压型子宫内膜取样器与分段诊刮术对子宫内膜癌患者宫颈受累的诊断价值。方法采用随机数字表法将接受手术治疗的88例子宫内膜癌患者分为对照组和观察组,每组44例。对照组患者采用分段诊刮术,观察组患者采用负压型子宫内膜取样器,比较两种方法对宫颈受累的诊断效能、子宫内膜组织取样出血量、视觉模拟评分法(VAS)评分、样本质量及取样满意度。结果以术后病理诊断结果为金标准,采用负压型子宫内膜取样器诊断宫颈受累的灵敏度、特异度、阳性预测值、阴性预测值、约登指数、诊断符合率均高于分段诊刮术,差异均有统计学意义(P﹤0.05),误诊率、漏诊率均低于分段诊刮术,差异均有统计学意义(P﹤0.05)。观察组患者子宫内膜组织取样出血量明显少于对照组,差异有统计学意义(P﹤0.01);观察组患者的VAS评分明显低于对照组,差异有统计学意义(P﹤0.01);两组患者的样本质量比较,差异无统计学意义(P﹥0.05)。观察组患者的取样满意度为90.91%,高于对照组的79.55%,差异有统计学意义(P﹤0.05)。结论负压型子宫内膜取样器对子宫内膜癌患者宫颈受累具有较高的诊断效能,且能够有效降低患者的子宫出血量和疼痛程度,提高患者满意度。Objective To explore the diagnostic value of negative pressure endometrial extractor and segmented curettage for cervical involvement in patients with endometrial cancer.Method 88 endometrial cancer patients undergoing surgical treatment were divided into the control group(n=44,using segmented curettage)and the observation group(n=44,using negative pressure endometrial extractor)using the random number table method.The diagnostic efficacy for cervical involvement,bleeding volume of endometrial tissue sampling,visual analogue scale(VAS)scores,sample quality,satisfaction of sampling were compared between the two methods.Result Postoperative pathological diagnosis was taken as the gold standard,the sensitivity,specificity,positive predictive value,negative predictive value,Youden index,and diagnostic coincidence rate of negative pressure endometrial extractor in diagnosis of cervical involvement were higher than segmented curettage(P<0.05),the rate of misdiagnosis and missed diagnosis were lower than segmented curettage(P<0.05).The bleeding volume of endometrial tissue sampling was lower in the observation group than that in the control group(P<0.01);the VAS score was significantly lower in the observation group than that in the control group(P<0.01).There was no statistically significant difference for the sample quality between the two groups(P>0.05).The satisfaction of sampling in the observation group was 90.91%,which was higher than that of 79.55%in the control group(P<0.05).Conclusion There is high diagnostic efficacy for negative pressure endometrial extractor in diagnosing cervical involvement of endometrial cancer,which can effectively reduce the uterine bleeding volume and pains,and improve the satisfaction.

关 键 词：负压型子宫内膜取样器 分段诊刮术 子宫内膜癌 宫颈受累 诊断价值 

分 类 号：R737.33[医药卫生—肿瘤]