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目的分析宫腔镜子宫内膜定位活检对早期子宫内膜癌的诊断价值。方法 120例疑诊为早期子宫内膜癌患者作为研究对象,对所有患者实施诊断性刮宫检查和宫腔镜子宫内膜定位活检,并将手术病理检查作为依据,对两种检查方式的检出情况进行分析对比。结果研究结果显示,本组患者中有20例患者经手术病理结果证实为早期子宫内膜癌,占总数的16.67%。宫腔镜检查20例为子宫内膜癌,子宫内膜癌检出率为16.67%,诊断符合率为100.0%,19例宫颈管受累,宫颈管受累检出率为15.83%,诊断符合率为95.0%。诊断性刮宫检查11例为子宫内膜癌,子宫内膜癌检出率为9.17%,诊断符合率为55.0%,10例宫颈管受累,宫颈管受累检出率为8.33%,诊断符合率为50.0%,在早期子宫内膜癌的诊断中,宫腔镜子宫内膜定位活检的检出率和诊断符合率均显著高于诊断性刮宫检查(P<0.05)。结论宫腔镜子宫内膜定位活检在诊断早期子宫内膜癌中具有良好的临床应用效果,能有效提高病变检出率和诊断符合率,值得在临床应用上推广。
Objective To analyze the diagnostic value of hysteroscopic endometrial biopsy for early endometrial cancer. Methods A total of 120 patients with early endometrial cancer were suspected as the study subjects. All the patients underwent diagnostic curettage and hysteroscopic endometrial biopsy, and the pathological examination was used as the basis to detect the two test methods Situation analysis and comparison. Results of the study showed that 20 patients in this group of patients confirmed by pathological results of early endometrial cancer, accounting for 16.67% of the total. Hysteroscopy in 20 cases of endometrial cancer, endometrial cancer detection rate was 16.67%, the diagnostic coincidence rate was 100.0%, 19 cases of cervical canal involvement, cervical canal involvement rate was 15.83%, the diagnostic coincidence rate 95.0%. Diagnostic curettage examination of 11 cases of endometrial cancer, endometrial cancer detection rate was 9.17%, the diagnostic coincidence rate was 55.0%, 10 cases of cervical canal involvement, cervical canal involvement rate was 8.33%, the diagnostic coincidence rate 50.0%. In the diagnosis of early endometrial carcinoma, the detection rate and diagnosis coincidence rate of hysteroscopic endometrial biopsy were significantly higher than those of diagnostic curettage (P <0.05). Conclusion Hysteroscopic endometrial biopsy has a good clinical application in the diagnosis of early endometrial cancer, which can effectively improve the detection rate of lesions and the coincidence rate of diagnosis. It is worth to be popularized in clinical application.