中国妇幼健康研究Issue(3)：476-478,3.DOI:10.3969/j.issn.1673-5293.2014.03.048
分段诊刮在子宫内膜癌诊治中的临床价值
Clinical value of fractional curettage in diagnosis and treatment of endometrial cancer
仰晨 1卢苏 1郭红玉 1金晶1
作者信息
- 1. 南京中医药大学附属医院江苏省中医院妇科，江苏南京 210029
- 折叠
摘要
Abstract
Objective To assess the clinical significance of fractional curettage in diagnosis and treatment of endometrial cancer .Methods The clinical data of 82 cases with endometrial cancer hospitalized in Affiliated Hospital of Nanjing University of TCM from January 2006 to December 2012 were retrospectively analyzed .The hysterectomy pathology types were considered as golden standard .The accuracy of histologic classification , grading and cervical infiltration of the pathological diagnosis of endometrial carcinoma were analyzed .Results The overall coincidence rate of the histologic classification of endometrial cancer was 87.80% with preoperative fractional curettage (93.33%for typeⅠand 50.00%for type Ⅱ, respectively).The overall accuracy of the pathological diagnosis of histologic grading in preoperative fractional curettage was only 73.33%.The accuracy for G1, G2 and G3 was 80.00%, 72.22%and 100%, respectively .The sensitivity and specificity of fractional curettage in pathological diagnosis of cervical infiltration in endometrial cancer was 54.55% and 91.55%, respectively.The positive predictive value was 50.00%, and the negative predictive value was 92.86%.Conclusion Fractional curettage is still an acceptable diagnostic tool for preoperational evaluation of endometrial cancer with new FIGO staging system .Negative results of the cervical scratch scrape are more meaningful in judging the cervical infiltration .The postoperative pathological grading is upgraded in some patients.关键词
子宫内膜癌/分段诊刮/组织学分型/分级/宫颈浸润Key words
endometrial cancer/fractional curettage/histologic classification and grading/cervical infiltration分类
医药卫生引用本文复制引用
仰晨,卢苏,郭红玉,金晶..分段诊刮在子宫内膜癌诊治中的临床价值[J].中国妇幼健康研究,2014,(3):476-478,3.
