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目的 进一步了解分段刮宫在子宫内膜癌分期诊断的意义。方法 回顾性分析了我院1958年～1990年首先采用手术治疗的临床Ⅰ期54例,Ⅱ期15例内膜样癌患者的术后分期情况。结果 若术前颈管刮取标本中未见肿瘤,临床诊断为Ⅰ期者,与术后病理诊断的符合率可达90.7％;但对临床Ⅱ期患者,因颈管解剖结构隐蔽及宫腔内肿瘤组织向下脱落、挤压的影响,致使依术前颈管刮取标本诊断颈管是否受侵的假阳性率达40％。其次,因其取材少常不具备正常颈管内膜而不能鉴别Ⅱ_A、Ⅱ_B期。结论 子宫内膜癌Ⅱ期的诊断依术后病理检查为宜。
Objective To further understand the significance of staged curettage in the staging of endometrial cancer. Methods Retrospective analysis of our hospital from 1958 to 1990, the first surgical treatment of 54 cases of clinical stage Ⅰ, stage Ⅱ 15 cases of endometrial carcinoma in patients with postoperative staging. Results If no tumor was found in the preoperative neck scraping specimen, the clinical diagnosis was stage Ⅰ, and the coincidence rate with the postoperative pathological diagnosis was 90.7%. However, due to the hidden anatomy of the cervical canal and the uterine cavity Within the tumor tissue shedding, the impact of extrusion, resulting in preoperative specimens of cervical canal scrape the diagnosis of cervical canal invasion is false positive rate of 40%. Second, because of its lack of material often do not have the normal endocervical canal and can not identify Ⅱ A, Ⅱ B period. Conclusion The diagnosis of endometrial cancer stage Ⅱ according to postoperative pathological examination is appropriate.