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目的研究腹腔细胞学对子宫内膜癌患者的临床诊断价值及其对预后的影响。方法 40例子宫内膜癌患者,术中进行腹腔细胞学检查,并分析病理分期、手术分期、远端转移等病理指标与腹腔细胞学检查阳性的关系,同时总结术后预后效果。结果 4例(10.0%)患者腹腔细胞学检查结果阳性,研究结果表明腹腔细胞学阳性与手术分期、肌层浸润深度、病理分级、病理类型、宫颈受累、淋巴结转移大网膜转移因素密切相关(P<0.05),且腹腔细胞学阳性与患者术后3年存活率基本一致。结论腹腔细胞学阳性与子宫外转移危险因素和子宫内高危因素存在直接的关系,提示这些高危因素对子宫内膜癌患者预后效果的影响,在作为病理分期依据上有一定价值,值得重视。
Objective To study the clinical value of peritoneal cytology in patients with endometrial cancer and its effect on prognosis. Methods Forty patients with endometrial carcinoma underwent intraperitoneal cytology and analyzed the relationship between the pathological parameters such as pathological staging, surgical staging and distant metastasis and the positive results of peritoneal cytology. At the same time, the prognosis of patients with endometrial carcinoma was analyzed. Results The results of peritoneal cytology were positive in 4 patients (10.0%). The results showed that the positive of peritoneal cytology was closely related to the stage of operation, the depth of myometrial invasion, pathological grade, pathological type, cervical involvement and lymph node metastasis of omentum P <0.05), and the positive rate of peritoneal cytology and patients after 3 years survival rate basically the same. Conclusion The positive correlation between peritoneal cytology and extrauterine metastasis risk factors and intrauterine risk factors, suggesting that these high risk factors on the prognosis of endometrial cancer patients, as a basis for the pathological staging has some value, it is worth attention.