摘要
目的探讨提高子宫内膜癌诊断率的有效方法。方法选取因不规则阴道出血门诊就诊并最终住院手术的患者2640例,采用传统分段诊刮诊断的948例患者作为组一,行宫腔镜下子宫内膜活检的1692例患者作为组二,其中宫腔镜组均在行内膜活检前在宫腔镜下留置双侧输卵管导管堵塞输卵管间质部,之后在不同的膨宫压力下进行宫腔镜检查+内膜活检。结果组一漏诊率无14.54%,显著高于组二的3.79%,腹腔冲洗液肿瘤细胞学阳性与临床分期有关,差异有统计学意义(P<0.05)。结论宫腔镜下子宫内膜活检能明显降低子宫内膜癌的漏诊率,在活检前行双侧输卵管插管堵塞输卵管间质部可有效避免恶性肿瘤细胞医源性扩散。
Objective To explore the effective method to improve the endometrial cancer diagnosis rate.Methods In 2640 patients with irregular vaginal bleeding clinics and eventually in the hospital surgery patients,948 cases were treated by conventional curettage diagnosis（group 1） and 1692 cases of patients with endometrial biopsy under hysteroscopy（group 2）,the hysteroscopy group is endometrial biopsy under hysteroscopy before lien bilateral fallopian tube catheter jam,fallopian tube under different pressure of palace after hysteroscopic examination ＋endometrial biopsy. Results Group a missed diagnosis（14.54%） is significantly higher than group 2（3.79%）,abdominal cavity fl ushing fl uid tumor cytology positive related with the clinical stage, pathological type（P〈0.05）. Conclusion Hysteroscopy endometrial biopsy can obviously decrease the missed diagnosis of endometrial carcinoma,the biopsy on bilateral tubal blockage of fallopian tube intubation can effectively avoid the iatrogenic spread of malignant tumor cells.
出处
《实用妇科内分泌电子杂志》
2016年第1期1-2,共2页
Electronic Journal of Practical Gynecological Endocrinology
基金
河南省卫生计生委2014年度卫生政策研究计划项目基金
项目编号YW2Y201454
关键词
子宫内膜癌
宫腔镜
安全性
Endometrial carcinoma
Hysteroscope
Safety
