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目的 评价宫腔镜检查诊断子宫内膜癌的准确性和判断宫颈是否受累的可靠性。方法 对 6 4例子宫内膜癌进行宫腔镜检查和分段诊刮 ,将结果与术后病理相比较。结果 6 4例子宫内膜癌中 ,宫腔镜检查无一例漏诊 ,而分段诊刮漏诊率为 12 5 % ;宫腔镜检查判断宫颈受累情况与术后病理结果相符率为 96 9% ,而分段诊刮相符率为 84 4% (P <0 0 5 )。结论 宫腔镜检查结合定位活检是诊断子宫内膜癌和判断宫颈是否受累的可靠方法
Objective To evaluate the accuracy of hysteroscopy in the diagnosis of endometrial cancer and to determine the reliability of cervical involvement. Methods Hysteroscopy was performed on 64 cases of endometrial cancer and the results were compared with postoperative pathology. Results In 64 cases of endometrial carcinoma, none of the hysteroscopy was missed, and the missed diagnosis rate was 125%. The coincidence rate of hysteroscopy in judging cervical involvement and postoperative pathology was 96.9% The coincident curettage rate was 84 4% (P <0 05). Conclusion Hysteroscopy combined with biopsy is a reliable method to diagnose endometrial cancer and determine whether the cervix is involved