【摘要】 目的　探讨宫腔镜检查对子宫内膜癌病人的腹腔冲洗液检查结果是否有影响。方法　采用回顾性分析经宫腔镜检查诊断和经分段诊刮诊断为子宫内膜癌的腹腔冲洗液检查结果共 15 6例。结果　经宫腔镜检查诊断的 5 9例病人中 ,腹腔冲洗液阳性率 (2 0 3% )高于经分段诊刮诊断者 (13 4 % ) ,但差异无统计学意义。在肌层浸润 <1/2的子宫内膜癌病人中 ,经宫腔镜诊断者其腹腔冲洗液阳性率 (2 2 6 % )明显高于经分段诊刮诊断者(8 1% )。结论　宫腔镜检查用于诊断子宫内膜癌时有可能引起癌细胞的扩散。更多还原

【Abstract】 Objective To study whether hysteroscopy affects the result for peritoneal cytology of patients with endometrial carcinoma.Methods The peritoneal cytology of 156 patients with endometrial carcinoma diagnosed by D&C or hysteroscopy were retrospectively analysed.Results The peritoneal cytology was positive in 20 3% of the 59 endometrial cancer patients diagnosed by hysteroscopy,which was higher than that(13 4%) of the patients diagnosed by D&C,while no statistical difference was found (P>0 05). When the analysis was restricted to patients with involvement of inner half of the myometrium, the positive rate of peritoneal cytology of patients diagnosed by hysteroscopy (22 6%) was significantly higher than that(8 1%) of the patients diagnosed by D&C. Conclusion Hysteroscopy used in the diagnosis of endometrial carcinoma may facilitate the tumor cell dissemination.更多还原