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目的探讨宫腔细胞学取材诊断早期子宫内膜癌的价值。方法对108例患者,先用子宫内膜采集器(ESDC)采集子宫内膜细胞进行细胞学检查,再行诊断性刮宫进行组织病理学检查,比较两组细胞学检查方法对子宫内膜癌及其癌前病变诊断的准确性。结果 ESDC取材时基本不用扩张宫颈,而诊刮术时有92.45%的患者需扩张宫颈。ESDC法与诊断性刮宫患者疼痛程度比较,差异有显著性(P<0.01);ESDC法患者出血量较诊断性刮宫者明显减少(P<0.05)。结论应用子宫内膜细胞采集器进行子宫内膜癌的早期诊断是安全有效的,有一定的临床应用价值。
Objective To investigate the value of uterine cytology in the diagnosis of early endometrial cancer. Methods In 108 patients, endometrial cells were collected by endometrial harvester (ESDC) for cytological examination and then diagnosed by curettage for histopathological examination. The cytological examination was compared between the two groups for endometrial cancer and The accuracy of its precancerous lesions diagnosis. Results ESDC basically no need to expand the cervix, and curettage 92.45% of patients need to expand the cervix. ESDC method and diagnostic curettage patients with pain levels, the difference was significant (P <0.01); ESDC patients with bleeding than the diagnostic curettage were significantly reduced (P <0.05). Conclusion The application of endometrial cell harvester for early diagnosis of endometrial cancer is safe and effective, and has certain clinical value.