两种术前检查方式对子宫内膜恶性肿瘤患者腹腔细胞学检出率及随访生存率的影响

发布时间：2018-04-25 15:41

本文选题：宫腔诊刮术 + 宫腔镜　；参考：《中国内镜杂志》2017年10期

【摘要】：目的探讨术前宫腔诊刮术与宫腔镜检查对子宫内膜恶性肿瘤患者腹腔细胞学检出率及随访生存率的影响。方法研究对象选取该院2011年3月-2013年12月收治的子宫内膜恶性肿瘤患者120例,根据术前检查方式差异分为诊刮组(64例)和宫腔镜组(56例),分别在术前采用宫腔诊刮术与宫腔镜检查;比较两组患者标本合格率、病理诊断一致率、腹水细胞学检出率、随访3年总生存率和无进展生存率等。结果两组患者标本合格率和病理诊断一致率比较差异无统计学意义(P0.05);宫腔镜组患者腹水细胞学检出率明显高于诊刮组(P0.05);同时两组患者随访3年总生存率和无进展生存率比较差异无统计学意义(P0.05)。结论宫腔诊刮术与宫腔镜检查用于子宫内膜恶性肿瘤诊断价值相当,但宫腔镜检查可能增加腹腔转移风险,但对远期生存并无影响,有待更大规模随机对照证实。
[Abstract]:Objective to investigate the effect of preoperative uterine cavity curettage and hysteroscopy on the detection rate and survival rate of peritoneal cytology in patients with endometrial malignant tumor. Methods 120 patients with endometrial malignancies treated in December -2013 March 2011 were selected and divided into curettage group (64 cases) and uterine cavity according to the difference of preoperative examination methods. In the mirror group (56 cases), the uterine cavity curettage and hysteroscopy were used before the operation, and the qualified rate of the two groups, the coincidence rate of pathological diagnosis, the cytological detection rate of ascites, the total survival rate of 3 years and the non progressive survival rate were compared between the two groups. The results showed that there was no significant difference in the conformity rate of the qualified rate and the pathological diagnosis in the two groups (P0.05). The cytological detection rate of ascites in the endoscopic group was significantly higher than that in the curettage group (P0.05), and there was no significant difference in the total and progression free survival of the two groups (P0.05). Conclusion the diagnostic value of uterine cavity curettage and hysteroscopy for endometrial malignancies is equivalent, but hysteroscopy may increase abdominal metastasis. However, it has no effect on long-term survival.

【作者单位】：湖北省肿瘤医院妇瘤科;
【分类号】：R737.33

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