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１０１例妇科肿瘤患者开腹探查前，先行腹腔冲洗，在道格拉斯氏陷凹取冲洗液做细胞学检查，其中妇科恶性肿瘤６５例，将细胞学检查与病理检查相对照。结果：冲洗液中８例检出癌细胞。子宫内膜癌Ⅰ～Ⅱ期阳性检出率８．３０％，卵巢癌Ⅰ～Ⅱ期阳性检出率９．０９％。单因素分析表明，腹腔冲洗液的细胞学阳性者，与淋巴转移（Ｐ＜０．０１）、盆腔转移（Ｐ＜０．０１）、组织学Ⅲ级（Ｐ＜０．０１）相关。腹腔冲洗液的细胞学检查可以指导术后治疗及评估预后
In 101 patients with gynecologic cancer, laparotomy was performed prior to laparotomy. Washing fluid was used for cytological examination in Douglas’s depression. Among them, 65 were gynecological malignancies. Cytology and pathological examinations were compared. Results: Cancer cells were detected in 8 of the irrigants. The positive detection rate of endometrial cancer I-II was 8.30%, and the positive rate of I-II ovarian cancer was 9.09%. Univariate analysis showed that cytology positive patients with peritoneal lavage fluid were associated with lymph node metastasis (P<0.01), pelvic metastasis (P<0.01), and histology grade III (P<0.01). Cytological examination of peritoneal lavage fluid can guide postoperative treatment and assess prognosis