摘要
目的分析对于子宫内膜癌患者采取宫腔镜辅助下分段诊断性刮宫术的临床诊断价值。方法选取2018年4月-2020年4月本院收治的经病理学检验证实为子宫内膜癌患者98例作为研究对象并对其临床资料进行回顾性分析,按照诊断方式不同对其进行分组,其中单纯采取分段诊刮术的为对照组(n=49),采取宫腔镜辅助下分段诊断性刮宫术的为研究组(n=49),比较两组患者诊断符合率,并对腹腔冲洗液细胞学阳性相关因素进行分析。结果研究组患者诊断准确率为97.96%(48/49),对照组患者诊断准确率为81.63%(40/49),可见研究组诊断准确率明显高于对照组(P<0.05)。研究组腹腔冲洗液细胞学阳性率为16.33%(8/49),对照组腹腔冲洗液细胞学阳性率为18.37%(9/49),两组对比无明显差异(P>0.05),分析其阳性相关因素,与组织学分级、肌层浸润深度以及组织学类型均无关联(P>0.05),宫腔病灶面积≥50%患者阳性率明显高于宫腔病灶面积<50%的患者(P<0.05)。结论对于子宫内膜癌患者采取宫腔镜辅助下分段诊断性刮宫术可显著提高诊断准确性,且腹腔冲洗液细胞学阳性率与宫腔病灶的面积大小具有密切关联,有利于临床上制定相应的治疗方案。
Objective To analyze the clinical diagnostic value of segmented uterine curettage assisted by hysteroscopy in patients with endometrial carcinoma.Methods 98 patients with endometrial carcinoma confirmed by pathological examination in our hospital from April 2018 to April 2020 were selected and their clinical data were analyzed retrospectively.The patients were divided into two groups according to different diagnostic methods,including the control group(n=49)and the study group(n=49).The diagnostic coincidence rates of the two groups were compared.The factors related to the positive cytology of peritoneal lavage fluid were analyzed.Results The diagnostic accuracy of the study group was 97.96%(48/49),while that of the control group was 81.63%(40 shock 49).It could be seen that the diagnostic accuracy of the study group was significantly higher than that of the control group(P<0.05).The cytological positive rate of peritoneal lavage fluid was 16.33%in the study group and 18.37%in the control group.There was no significant difference between the two groups(P>0.05).There was no correlation between the positive factors and histological grade,depth of myometrial invasion and histological type(P>0.05).The positive rate of patients with uterine focus area less than 50%was significantly higher than that of patients with uterine focus area less than 50%(P<0.05).Conclusion Hysteroscope-assisted segmented diagnostic uterine curettage for patients with endometrial carcinoma can significantly improve the diagnostic accuracy,and the positive rate of peritoneal lavage cytology is closely related to the area of uterine foci.It is helpful to make the corresponding treatment plan in clinic.
作者
洪波
HONG Bo(Department of Obstetrics and Gynecology,Songyuan Central Hospital,Songyuan,Jilin 138000)
出处
《智慧健康》
2022年第25期77-80,共4页
Smart Healthcare
关键词
子宫内膜癌
宫腔镜辅助下分段诊断性刮宫术
诊断准确性
腹腔冲洗液细胞学阳性率
Endometrial carcinoma
Hysteroscope-assisted segmented uterine curettage
diagnostic accuracy
Positive rate of peritoneal lavage cytology
