宫腔镜辅助下分段诊刮在子宫内膜癌检查中的应用评价

目的：评价宫腔镜辅助下分段诊刮在子宫内膜癌检查中的临床价值，探讨提高子宫内膜癌诊断准确性的检查方法。方法：选择经分段诊刮诊断为子宫内膜癌患者132例，59例患者分为对照组，术前采取单纯分段诊刮的方式；73例患者分为观察组，术前采取宫腔镜辅助下分段诊刮的方式。根据术后患者病理检查结果，比较两组患者术前诊断的准确性及术中腹腔冲洗液细胞阳性率。结果：观察组检查方式的准确性优于对照组，差异具有统计学意5C（P〈0．05），两组术中腹腔冲洗液细胞阳性病例比较，差异无统计学意义（P〉0．05）。结论：宫腔镜辅助下分段诊刮的方式可提高子宫内膜癌检查的准确性，且不增加肿瘤细胞散播的风险。

Clinical Evaluation of Hysteroscopy Assisted Segment Curettage in Endometrial Cancer

Objective： To evaluate the clinical effect of hysteroscopy assisted segment curettage in the endometrial cancer and research the check methods to improve the diagnostic accuracy. Method： Collect 132 endometrial cancer patients with the segment curettage, 59 patients were divided into the control group with the simple segment curettage,73 patients were divided into the observation group with the hysteroscopy and segment curettage.According to the postoperative pathologic examination results,compare the preoperative diagnosis accuracy and positive rate of intraoperative peritoneal fluid cells. Result： The observation group＇s diagnostic accuracy was better than the control group＇s, there was a statistical significant（P〈0.05） in them, there was no statistical significant（P〉0.05） in the positive patients of intraoperative peritoneal fluid cells. Conclusion： It could improve the diagnostic accuracy by the hysteroscopy assisted segment curettage in the endometrial cancer, furthermore it could not increase the risk of spreading tumor cells.