论文部分内容阅读
目的：评价宫腔镜检查诊断子宫内膜癌的准确性和判断宫颈是否受累的可靠性。方法：对６４例子宫内膜癌进行了宫腔镜检查和分段诊刮，将宫腔镜检查结果、分段诊刮结果与术后标本病理结果相比较。结果：６４例子宫内膜癌中，宫腔镜检查无１例漏诊，而分段诊刮漏诊率为１２．５％；宫腔镜检查判断宫颈受累情况相符率为９６．９％，而分段诊刮相符率为７３．５％，Ｐ＜０．０５。结论：宫腔镜检查结合定位活检是诊断子宫内膜癌和判断宫颈是否受累的可靠方法。
Objective: To evaluate the accuracy of hysteroscopy in the diagnosis of endometrial cancer and determine the reliability of cervical involvement. Methods: Hysteroscopy and segmented curettage were performed on 64 cases of endometrial cancer. The results of hysteroscopy and segmented curettage were compared with pathological results of postoperative specimens. Results: Of the 64 endometrial carcinomas, none was diagnosed by hysteroscopy. The rate of missed diagnosis was 12.5% for sub-diagnosis; 96.9% for hysteroscopy for cervical involvement. The diagnostic compliance rate was 73.5%, P<0.05. Conclusion: Hysteroscopy combined with biopsy is a reliable method for diagnosing endometrial cancer and determining whether the cervix is affected.