Objective To investigate the clinical significance of biopsy and curettage under hysteroscopy in diagnosis of endometrial carcinoma. Methods 194 cases of endometrial carcinoma patients from May 2008 to May 2016 in our hospital were selected and divided into two groups. Control group were 93 cases who were treated with fractional curettage before operation,and observation group were 101 cases who were treated with biopsy and curettage under hysteroscopy. The diagnostic coincidence of these two groups was further compared as an evaluation index. Results In control group, the pathological diagnosis accuracy was 84.95％ and the accuracy of detecting cervical involvement was 88.2％,while the rates were 98.02％(99/101) and 96.0％ in observation group,respectively. The differences between these two groups had no statistical difference(P<0.05). Conclusion Biopsy and curettage under hysteroscopy in diagnosis of endometrial carcinoma can improve the accuracy of preoperative diagnosis.%目的 探讨在子宫内膜检查中,应用宫腔镜下活检及分段诊刮术的临床意义.方法 回顾性分析2008年5月至2016年5月收治的194例子宫内膜癌患者,其中对照组93例患者术前行单纯分段诊刮术,观察组101例患者术前行宫腔镜下活检及分段诊刮术,比较两组的诊断符合率.结果 对照组患者手术前后病理诊断符合率为84.95％,对照组宫颈受累的诊断准确性为88.2％;观察组分别为98.02％和96.0％.两组间的差异均具有统计学意义(P<0.05).结论 子宫内膜癌检查中应用宫腔镜下活检以及分段诊刮术可以提高术前诊断的准确性.
展开▼
