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目的:评价分段诊刮对子宫内膜癌组织学类型及宫颈受累判断的价值。方法:回顾性分析127例子宫内膜癌患者术前分段诊刮与手术切除标本的病理结果。结果:术前分段诊刮与手术切除标本病理诊断组织学类型符合率80.31%,宫颈受累符合率53.85%。结论:分段诊刮在子宫内膜癌的诊断、组织学类型及宫颈受累判断方面有一定局限性,术中剖视子宫标本,行术中冰冻病理检查,可提高子宫内膜癌诊断的准确性。
Objective: To evaluate the value of sectional curettage on histological type and cervical involvement in endometrial carcinoma. Methods: A retrospective analysis of 127 cases of endometrial cancer patients with preoperative curettage and surgical specimens of the pathological results. Results: The preoperative segmental curettage and surgical specimens of pathological diagnosis histological type coincidence rate of 80.31%, cervical involvement coincidence rate of 53.85%. Conclusion: The diagnosis of segmental curettage in the diagnosis of endometrial cancer, histological types and cervical involvement have some limitations, intrauterine cross-sectional uterus specimens, intraoperative frozen pathological examination can improve the accuracy of diagnosis of endometrial cancer Sex.