CAJ | 학술논문

目的：探讨如何降低术前诊断为子宫内膜不典型增生（ EAH）、术后病理为子宫内膜癌患者的误诊率。方法：回顾性分析198例术前诊断为子宫内膜不典型增生的临床病理资料，并进行比较分析。结果：手术前后诊断EAH的诊断符合率为72.72％（144／198），术中剖开子宫内膜光滑组的诊断符合率为95.08％（116／122），明显高于内膜不光滑组的符合率63.16％（48／76），术后病理诊断为子宫内膜癌组的年龄明显高于子宫内膜不典型增生组。结论：术前行宫腔镜检查、关注患者年龄、术中探查宫腔病变及快速冰冻病理检查有助于明确诊断，降低误诊率。
목적：탐토여하강저술전진단위자궁내막불전형증생（ EAH）、술후병리위자궁내막암환자적오진솔。방법：회고성분석198례술전진단위자궁내막불전형증생적림상병리자료，병진행비교분석。결과：수술전후진단EAH적진단부합솔위72.72％（144／198），술중부개자궁내막광활조적진단부합솔위95.08％（116／122），명현고우내막불광활조적부합솔63.16％（48／76），술후병리진단위자궁내막암조적년령명현고우자궁내막불전형증생조。결론：술전행궁강경검사、관주환자년령、술중탐사궁강병변급쾌속빙동병리검사유조우명학진단，강저오진솔。
Objective:To decrease the misdiagnosis rate of endometrial carcinoma in patients with endometrial atypical hyperplasia( EAH) before operation.Methods:There was a retrospective analysis of 198 patients with preoperative diagnosis of EAH and analysed their clinical and pathological data.Results:Coincidence rate between preoperation and postoperation in diagnosis of EAH was 72.72% ( 144/198 ).The group of smooth endometrium had a coincidence rate of 95.08%( 116/122 ) which was significantly higher than that group of matt endometrium observed during operation 63.16%(48/76).The mean age of patients with endometrial carcinoma was significantly higher than the mena age of patients with EAH diagnosed by postoperation pathological test.Conclusion:Preoperative hysteroscopy examination of uterine cavity lesions, patients ’ ages, intraoperative exploration and quick frozen pathological examination are helpful to make correct diagnosis and reduce the misdiagnosis rate.