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目的:比较子宫内膜癌患者诊刮与手术切除标本病检结果的差异。方法:对我院2003年至2007年间52例子宫内膜癌患者诊刮与手术切除标本病检结果进行比较。结果:诊刮与手术切除标本病检结果符合率为76.9%。特殊病理类型子宫内膜癌的深肌层浸润率及淋巴结转移率均高于普通内膜样腺癌。普通内膜样腺癌分化程度越高,深肌层浸润率及淋巴结转移率越低。结论:重视阴道不规则出血,及时诊断性刮宫是子宫内膜癌早发现,早诊断,早治疗的前提。提高诊刮与术后病检结果的符合率是今后共同努力的目标。
Objective: To compare the difference between the results of pathological examination of curettage and surgical resection specimens in patients with endometrial cancer. Methods: 52 patients with endometrial cancer in our hospital from 2003 to 2007 curettage and surgical resection specimens were compared. Results: The results of pathological examination of curettage and surgical resection coincided with 76.9%. Deep myometrial invasion rate and lymph node metastasis rate of endometrial carcinoma in special pathological type were higher than those in common endometrial adenocarcinoma. The higher degree of differentiation of common endometrial adenocarcinoma, the lower the rate of deep myometrial invasion and lymph node metastasis. Conclusion: The importance of irregular vaginal bleeding, timely diagnosis of curettage is early detection of endometrial cancer, early diagnosis and early treatment of the premise. To improve curettage and postoperative pathological results in line with the rate of joint efforts in the future.