CAJ | 학술논문

　　目的：比较宫腔镜检查及分段诊刮术诊断子宫内膜癌对腹腔冲洗液阳性率的影响。方法：有腹腔冲洗液结果和完整病理检查资料的子宫内膜癌患者72例，其中宫腔镜组29例，分段诊刮组43例，在我院手术治疗，开腹后收集冲洗液后即送病理科找癌细胞。结果：腹腔冲洗液阳性者宫腔镜组有10例（34．5％），高于分段诊刮组14例（32.6％），差异无统计学意义（ P＜0．05）；子宫内膜癌患者腹腔冲洗液阳性与病灶大小明显相关，差异有统计学意义（P＜0．05）；与组织学类型、浸润程度及转移等无关（P＜0．05）。结论：宫腔镜有其独特优势，但仍有引起癌细胞进入腹腔的可能，若行宫腔镜检查明确子宫内膜病变时，建议膨宫压力＜70mmHg ，并尽量缩短检查时间。
　　목적：비교궁강경검사급분단진괄술진단자궁내막암대복강충세액양성솔적영향。방법：유복강충세액결과화완정병리검사자료적자궁내막암환자72례，기중궁강경조29례，분단진괄조43례，재아원수술치료，개복후수집충세액후즉송병이과조암세포。결과：복강충세액양성자궁강경조유10례（34．5％），고우분단진괄조14례（32.6％），차이무통계학의의（ P＜0．05）；자궁내막암환자복강충세액양성여병조대소명현상관，차이유통계학의의（P＜0．05）；여조직학류형、침윤정도급전이등무관（P＜0．05）。결론：궁강경유기독특우세，단잉유인기암세포진입복강적가능，약행궁강경검사명학자궁내막병변시，건의팽궁압력＜70mmHg ，병진량축단검사시간。
Objective :Compared the effect of peritoneal washings in endometrial cancer patients by hysteroscope and fractional curettage .Methods :A retrospective study was carried out on 72 cases of endometrial carcinoma .Among them ,29 patients were diagnosed by hysteroscope(hysteroscope group) ,43 patients were diagnosed by fractional curet-tage(fractional curettage group) ,the peritoneal washings were sent for pathological diagnosis .Results:The positive per-itoneal cytology rate was 10 cases(34 .5% )in hysteroscopy group ,which was higher than that in fractional cureffage group(32 .6% ) ,but no statistical difference was found(P>0 .05) ,the positive peritoneal cytology rate was significantly correlated with tumor distribution in the uterine cavity (P<0 .05) ,but not correlated with histology type ,depth of myo-metrial invasion and adnexal metastasis(P<0 .05) .Conclusion:Hysteroscope has its unique advantages ,but tumor cells have the potential to enter abdominal cavity ,when endometrium was checked by hysteroscope ,the pressure should be controlled less than 70mmHg ,and the operation time should be shorten as far as possible .