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目的分析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。方法回顾分析子宫内膜癌患者40例,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,总结术后效果。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、病理类型、病理分期、宫颈受累、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年生存率基本一致。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联系,也能提示这些高危因素对子宫内膜癌患者预后效果的影响,其在作为病理分期依据上有一定价值,值得重视。
Objective To analyze the clinical value of peritoneal cytology in patients with endometrial cancer and its effect on prognosis. Methods Forty patients with endometrial carcinoma were retrospectively analyzed. Intraperitoneal cytology was performed. The relationship between the pathological features of the patients with pathological staging, surgical staging and distant metastasis and the positive results of peritoneal cytology was analyzed, and the postoperative effects were summarized. 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 operation stage, pathological type, pathological stage, cervical involvement and omental metastasis (P <0.05) Positive cytology and postoperative 3-year survival rates were basically the same. Conclusion The positive correlation between peritoneal cytology and extrauterine metastasis risk factors and high risk factors in uterus, but also can prompt the impact of these risk factors on the prognosis of patients with endometrial cancer, which has a certain value as a basis for the pathological stage, it is worth Pay attention.