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目的:对子宫内膜异位症患者采用腹腔镜诊断与病理诊断之间的差异和相关因素进行探究分析。方法:选取我院2011年9月-2013年9月收治的67例子宫内膜异位症患者作为临床研究对象,所有患者均采取腹腔镜手术治疗,并给予腹腔镜诊断,对患者的临床症状、病灶描述进行记录,并与病理学诊断相对比,采用统计学方法对腹腔镜诊断与病理诊断之间的差异和相关因素进行评价。结果:对67例子宫内膜异位症患者给予腹腔镜诊断后,42例为病理诊断证实患者,慢性盆腔痛、性交痛或者痛经等临床特征的腹腔镜诊断病理证实率比较高;取材部位中,卵巢部位最多,占80.6%;病理阳性证实率和取材部位之间无明显差异(p>0.05)。结论:子宫内膜异位症腹腔镜诊断与病理诊断之间存在部分差异,病灶发生不典型性改变易导致病理为假阴性。
Objective: To investigate the differences between laparoscopic diagnosis and pathological diagnosis of endometriosis patients and related factors. Methods: Seventy-six patients with endometriosis admitted to our hospital from September 2011 to September 2013 were selected as clinical study subjects. All patients were treated by laparoscopy and laparoscopic diagnosis. The clinical symptoms , The lesion description was recorded and compared with the pathological diagnosis, statistical methods were used to evaluate the differences between laparoscopic diagnosis and pathological diagnosis and related factors. Results: Laparoscopic diagnosis of 67 cases of endometriosis patients, 42 cases of pathological diagnosis confirmed patients, chronic pelvic pain, pain or dysmenorrhea and other clinical features of laparoscopic diagnosis of pathological confirmed the high rate of pathological; , The most part of the ovary, accounting for 80.6%; pathological positive rate and no significant difference between the extracted parts (p> 0.05). Conclusion: There are some differences between laparoscopic diagnosis and pathological diagnosis of endometriosis. Atypical changes of lesions can lead to the pathology of false negative.