【摘要】 目的　评价宫腔镜检查诊断子宫内膜癌的准确性和判断宫颈是否受累的可靠性。方法　对 6 4例子宫内膜癌进行宫腔镜检查和分段诊刮 ,将结果与术后病理相比较。结果　 6 4例子宫内膜癌中 ,宫腔镜检查无一例漏诊 ,而分段诊刮漏诊率为 12 5 % ;宫腔镜检查判断宫颈受累情况与术后病理结果相符率为 96 9% ,而分段诊刮相符率为 84 4% (P <0 0 5 )。结论　宫腔镜检查结合定位活检是诊断子宫内膜癌和判断宫颈是否受累的可靠方法更多还原

【Abstract】 Objective To evaluate the accuracy of hysteroscopy in the diagnosis of endometrial carcinoma.Methods 64 patients with endometrial carcinoma were performed with hysteroscopy and D&C.The results of these two methods were compared with pathologic results.Results No one missed the hysteroscopic diagnosis.But the rate of escaped from diagnosis by D&C was 12 5%.The rate of pathologic result coinciding with hysteroscopy and D&C in determining involvement of cervix was 96 9% and 84 4% respectively(P<0 05).Conclusion The hysteroscopy is reliable for diagnosing endometrial carcinoma and determining involvement of cervix by carcinoma.更多还原