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目的 探讨宫腔镜检查对子宫内膜癌病人的腹腔冲洗液检查结果是否有影响。方法 采用回顾性分析经宫腔镜检查诊断和经分段诊刮诊断为子宫内膜癌的腹腔冲洗液检查结果共 15 6例。结果 经宫腔镜检查诊断的 5 9例病人中 ,腹腔冲洗液阳性率 (2 0 3% )高于经分段诊刮诊断者 (13 4 % ) ,但差异无统计学意义。在肌层浸润 <1/2的子宫内膜癌病人中 ,经宫腔镜诊断者其腹腔冲洗液阳性率 (2 2 6 % )明显高于经分段诊刮诊断者(8 1% )。结论 宫腔镜检查用于诊断子宫内膜癌时有可能引起癌细胞的扩散。
Objective To investigate the effect of hysteroscopy on the results of peritoneal washings in patients with endometrial cancer. Methods A retrospective analysis of hysteroscopic diagnosis and diagnosis of endometrial cancer by segmented diagnosis of endometrial washing results were 156 cases. Results Among the 49 patients who were diagnosed by hysteroscopy, the positive rate of peritoneal washings was higher than that of the diagnosed ones (13.4%), but the difference was not statistically significant. In endometrial carcinoma with myometrial invasion <1/2, the positive rate of intrauterine irrigation (226%) by hysteroscopy was significantly higher than that by segmental diagnosis (81%). Conclusion Hysteroscopy used to diagnose endometrial cancer may cause cancer cell proliferation.