| 宫腔镜直视下活检及分段诊刮术与单纯分段诊刮术在子宫内膜癌诊断中的应用价值 |
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| 引用本文： | 祝洪澜,梁旭东,王建六,崔恒,魏丽惠.宫腔镜直视下活检及分段诊刮术与单纯分段诊刮术在子宫内膜癌诊断中的应用价值[J].中国实用妇科与产科杂志,2011(6). |
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| 作者姓名： | 祝洪澜 梁旭东 王建六 崔恒 魏丽惠 |
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| 作者单位： | 北京大学人民医院妇产科; |
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| 摘 要： | 目的对照研究宫腔镜直视下活检及分段诊刮术与单纯分段诊刮术在子宫内膜癌诊断中的应用价值。方法北京大学人民医院从2002年7月至2010年2月收治子宫内膜癌患者287例,分为宫腔镜直视下活检及分段诊刮(A)组90例,和单纯分段诊刮(B)组197例,比较两组术前病理诊断子宫内膜癌的准确性,判断宫颈受累的可靠性,比较两组腹腔冲洗液阳性率的差别及3年和5年总生存率的差异。结果 A组术前病理诊断的准确率为97.8%(88/90),B组为88.8%(175/197),差异有统计学意义(P<0.05)。A组宫颈受累估计的敏感度、准确率、阳性预测值、阴性预测值分别为77.8%,97.8%,100%和97.6%;B组分别为65.3%,85.8%,74.4%和89.0%。A组腹腔冲洗液阳性率为5.56%(5/90),B组为6.09%(12/197),差异无统计学意义(P>0.05)。A组3年总生存率为91.7%(33/36),5年总生存率为82.4%(14/17),B组分别为95.6%(87/91)和86.7%(39/45)。3年和5年总生存率间比较,差异均无统计学意义(P>0.05)。结论宫腔镜直视下活检及分段诊刮可提高术前子宫...
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| 关 键 词： | 宫腔镜 分段诊刮 子宫内膜癌 |
Value of hysteroscopy with directed biopsy or dilatation and curettage in the diagnosis of endometrial carcinoma |
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| ZHU Hong-lan,LIANG Xu-dong,CUI Heng,WEI Li-hui.Value of hysteroscopy with directed biopsy or dilatation and curettage in the diagnosis of endometrial carcinoma[J].Chinese Journal of Practical Gynecology and Obstetrics,2011(6). |
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| Authors: | ZHU Hong-lan LIANG Xu-dong CUI Heng WEI Li-hui |
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| Institution: | ZHU Hong-lan,LIANG Xu-dong,CUI Heng,WEI Li-hui. Department of Gynecology and Obstetrics,People's Hospital,Peking University,Beijing 100044,China |
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| Abstract: | Objective To explore the value of hysteroscopy with directed biopsy or dilatation and curettage in the diagnosis of endometrial carcinoma.Methods 287 patients with endometrial carcinoma who were treated in our hospital were distributed into 2 groups:Group A(90 patients)was examined using hysteroscopy with directed biopsy or dilatation and curettage,and Group B(197 patients)was examined using fractional dilation and curettage(D&C).The diagnostic veracity of the two methods,the rate of positive peritoneal cyt... |
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| Keywords: | hysteroscopy dilatation and curettage endometrial carcinoma |
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