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为进一步探讨术中肉眼判断子宫内膜癌肌层浸润深度的准确性,在多个治疗中心开展了大规模前瞻性研究。 403例子宫内膜癌患者来自5家大型医疗机构,所有患者都实施了盆腔细胞学检查、全宫及双附件切除术,术前未予放疗。切下子宫后,用剪刀沿子宫血管行程打开未予固定的子宫侧壁以暴露前后壁,先查宫腔,再经病灶、肌层、浆膜层做1或多个横向切口,估计肌层浸润深度。依最深浸润点分大于或小于宫壁50％,与病检结果对比。巨检时间从打开子宫到估计完毕计算。所得数据用EpiStat 4.0软件处理分
In order to further investigate the accuracy of macroscopic infiltration depth of endometrial cancer during operation, a large-scale prospective study was conducted in multiple treatment centers. 403 patients with endometrial cancer were from five large medical institutions. All patients had undergone pelvic cytology, pelvic and double adnexectomy, and no preoperative radiotherapy. After excision of the uterus, open the unfixed uterine lateral wall with scissors along the uterine blood vessels to expose the anterior and posterior walls, first check the uterine cavity, and then make one or more transverse incisions through the lesion, muscularis and serosal layers. Infiltration depth. According to the most deep infiltration points greater than or less than 50% of the uterine wall, compared with the results of the examination. The time of the major examination was calculated from the time the uterus was opened until the estimation was completed. The resulting data was processed using the EpiStat 4.0 software.