摘要
目的探讨宫腔镜检查术对子宫内膜癌的诊断及癌细胞播散的影响。方法 165例子宫内膜癌患者根据术前检查方式,分为宫腔镜检查组(80例)和传统诊刮组(85例)。观察两组术前、术后组织学类型及病理诊断符合率、宫颈受累情况诊断符合率、腹腔细胞学检查阳性率及生存率。结果宫腔镜检查组术前诊断的组织学类型和病理分期、分级诊断的符合率均高于传统诊刮组(均P<0.01);宫颈受累诊断符合率高于传统诊刮组,假阳性率低于传统诊刮组(P<0.01或0.05);两组患者的腹腔癌细胞的阳性率的差异无统计学意义(P>0.05);宫腔镜检查组3 a复发率明显低于传统诊刮组(5.06%vs 14.6%,P<0.05),两组总存活率的差异均无统计学意义(P>0.05)。结论宫腔镜检查可显著提高子宫内膜癌诊断的准确率和可靠性,对癌细胞的播散风险及生存预后无明显影响。
Objective To investigate the effect ofhysteroscopy on diagnosis and dissemination of endometrial carcinoma. Methods According to the preoperative examination, 165 patients with endometrial cancer were divided into Hysteroscopy Group （n=80） and Conventional Curettage Group （n=85）. The diagnosis coincidence rate of preoperative and postoperative histological types and pathological diagnosis, diagnosis coincidence rate of cervical involvement, positive rate of abdominal cytology and survival rate were observed. Results Diagnosis coincidence rate of preoperative and postoperative histological types, diagnostic coincidence rate of preoperative and postoperative pathological staging and cervical involvement in Hysteroscopy Group were significantly higher than those of Conventional Curettage Group （P〈0.01 or 0.05）; there was no statistical difference in the positive rate of abdominal cancer cells between Conventional Curettage Group and Hysteroscopy Group （P〉0.05）; the 3 a recurrence rate in Hysteroscopy Group was significantly lower than that in Conventional Curettage Group （P〈0.05）, but there was no statistical difference in the total survival rate between two groups （P〉0.05）. Conclusion Hysteroscopy can significantly improve the accuracy and reliability of diagnosis on endometrial cancer, and has no obvious effect on the risks of dissemination of endometrial carcinoma and long-term survival.
出处
《广东医科大学学报》
2017年第1期90-92,共3页
Journal of Guangdong Medical University
基金
湛江市科技计划项目(No.2013B01228)
关键词
宫腔镜
子宫内膜癌
癌细胞播散
hysteroscopy
endometrial carcinoma
cancer cells dissemination
