【摘要】 目的:比较子宫内膜癌患者诊刮与手术切除标本病检结果的差异。方法:对我院2003年至2007年间52例子宫内膜癌患者诊刮与手术切除标本病检结果进行比较。结果:诊刮与手术切除标本病检结果符合率为76.9%。特殊病理类型子宫内膜癌的深肌层浸润率及淋巴结转移率均高于普通内膜样腺癌。普通内膜样腺癌分化程度越高,深肌层浸润率及淋巴结转移率越低。结论:重视阴道不规则出血,及时诊断性刮宫是子宫内膜癌早发现,早诊断,早治疗的前提。提高诊刮与术后病检结果的符合率是今后共同努力的目标。更多还原

【Abstract】 Objective Pathologic analysis of endometrial carcinoma of curettage and hysterectomy.Methods A retro-spective study was done in 52 patients with endometrial carcinoma from 2003 to 2007. Results The coincidence rate of curettage and hysterectomy was 76.9%.The uncommon pathologic types was associated with higher rates of deep myometrialinvasion and nodal metastasis than classic endometrioid adenocarcinoma. Higher pathologic differentiationwas associated with lower rates of deep myometrial invasion and nodal metastasis.Conclusion To think highly of abnormal vaginal bleed-ing and fractional curettage in time is the premise of early detection ,early diagnosis, early treatment of endometrial carcino-ma. Adequate attention should be paid to improve the coincidence rate of curettage and hysterectomy.更多还原