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目的探讨宫腔镜检查诊断子宫内膜癌的临床价值。方法选取2010年12月至2013年12月子宫内膜癌患者176例,随机分为两组,腔镜组88例术前接受宫腔镜检查,诊刮组88例术前接受刮宫诊断,以最终的手术病理结果为参考标准,比较两种不同方式的诊断结果的符合率。结果腔镜组诊断符合率90.91%优于诊刮组的52.50%,差异有统计学意义(P<0.05);在I、II期子宫内膜癌诊断正确率方面,腔镜组分别为88.70%和100%,诊刮组分别为65.78%和52.94%,两组比较差异有统计学意义(P<0.05)。结论宫腔镜诊断子宫内膜癌安全、符合率高,可临床推广应用。
Objective To investigate the clinical value of hysteroscopy in the diagnosis of endometrial cancer. Methods Seventy-six patients with endometrial cancer from December 2010 to December 2013 were randomly divided into two groups. 88 cases underwent endoscopic hysteroscopy in preoperative group and 88 cases in preoperative curettage group The final surgical pathology results as a reference standard to compare the coincidence rates of the two different diagnostic methods. Results The coincidence rate of endoscopic diagnosis of endoscopic carcinoma was 90.91%, which was significantly higher than that of curettage group (P <0.05). The accuracy of diagnosis of endometrial carcinoma of stage I and II was 88.70% And 100% respectively. The curettage group was 65.78% and 52.94% respectively, with significant difference between the two groups (P <0.05). Conclusion Hysteroscopy diagnosis of endometrial cancer, with a high rate of clinical application.