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目的 术中肉眼判断子宫内膜癌肌层浸润深度,从而用于指导手术范围。方法 对78例子宫内膜癌患者术中切下子宫后,用手术刀将子宫纵行切开,暴露子宫宫腔、内膜、肌层、浆膜层、估计肌层浸润深度,,按照FIGO 1988年推荐的子宫内膜癌手术病理分期系统:肌层浸润深浅以是否超过肌层的1/2为界。结果 依据用肉眼估计的侵润深度,与病检对比,二者无统计学差异(P>0.05),故手术中肉眼观察标本肌层浸润程度,可以用于指导手术范围。结论 术中肉眼判断肌层浸润深度是手术——病理分期适用而简易的方法,具有更准确地决定术式与手术范围的作用。
Objective To determine the depth of myometrial invasion of the endometrial cancer by the naked eye, which is used to guide the surgical range. Methods 78 cases of endometrial cancer patients underwent intraoperative uterine incision, the uterus was cut with a scalpel to expose the uterine cavity, endometrium, muscular layer, serosa, estimated myometrial invasion depth, according to FIGO Recommended 1988 surgical endometrial cancer staging system: the depth of myometrial invasion to more than 1/2 of the muscularis community. Results According to the estimated depth of invasion with the naked eye, compared with the pathological examination, there was no significant difference (P> 0.05). Therefore, the extent of myometrial invasion was observed macroscopically and could be used to guide the surgical field. Conclusions Intraoperative visualization of the depth of myometrial invasion is a simple and easy method for surgical-pathological staging. It has the effect of determining the surgical procedure and the operative range more accurately.