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目的探讨宫腔镜检查辅助分段诊断性刮宫术(诊刮术)在子宫内膜癌术前诊断中的价值。方法子宫内膜癌患者182例,随机分为单纯分段诊刮A组112例,宫腔镜辅助下的分段诊刮B组70例,比较两组术前病理诊断子宫内膜癌的准确性,判断宫颈受累的可靠性,比较两组腹腔冲洗液阳性率的差别。结果对宫颈受累估计的准确率,B组明显高于A组,差异具有统计学意义(P<0.05),而宫颈未受累估计的准确率及腹腔冲洗液细胞学的阳性率,两组间比较差异无统计学意义(P>0.05)。结论宫腔镜辅助分段诊刮术能提高子宫内膜癌患者术前诊断的准确率,能较确切了解子宫内膜癌患者的宫颈受累情况,不增加患者腹腔术中冲洗液细胞学检查的阳性率。
Objective To investigate the value of hysteroscopy assisted sub-diagnosis of diagnostic curettage in diagnosis of endometrial carcinoma before operation. Methods A total of 182 patients with endometrial cancer were randomly divided into simple segmental curettage group A (112 cases) and hysteroscopy assisted sub-group B (70 cases). The accuracy of preoperative pathological diagnosis of endometrial cancer was compared between the two groups Sex, to determine the reliability of cervical involvement, compared with the difference between the positive rate of the two groups of intra-abdominal irrigation fluid. Results The accuracy rate of cervical involvement assessment was significantly higher in group B than in group A (P <0.05), while the accuracy of cervical non-involvement assessment and the positive rate of peritoneal washings cytology were compared between the two groups The difference was not statistically significant (P> 0.05). Conclusion hysteroscopy assisted segmental curettage can improve the accuracy of preoperative diagnosis of patients with endometrial cancer, can more accurately understand the endometrial cancer patients with cervical involvement, does not increase the patients with intraoperative lavage fluid cytology Positive rate.