Preoperative Diagnosis Of Scraping And Pathological Examination Results Of Surgically Resected Specimens Of Comparison

Objective: Through retrospective analysis of preoperative the diagnostic curettagespecimens uterus after paraffin-embedded pathological diagnostic accordance rate toinvestigate the diagnostic value of diagnostic curettage, and analyze the factors thataffect the diagnostic results to guide clinical work together.Methods： Collection Affiliated to Dalian Medical University, Dalian CityMaternity Hospital from January2011to November2012, were treated as irregularvaginal bleeding mainly v. admission and removal of hysterectomy patients in ourhospital, a total of472cases. Case selection criteria:(1) the chief complaint of irregularvaginal bleeding admission;(2) hospital curettage specimens as well as surgicalremoval of the uterus specimens;(3) the date of implementation of the diagnosticcurettage operation and execution hysterectomy The date interval less than two months.Which pre-menopausal patients with315cases,157cases of postmenopausal patients.Postoperative paraffin-embedded specimens were diagnosed as benign a total of300cases, for a total of36cases of precancerous lesions, for a total of136cases ofmalignant lesions. Curettage specimens in the preoperative and postoperativeparaffin-embedded diagnostic results compared to analyze diagnostic curettagediagnostic value, and a comprehensive analysis of the factors that affect the results, inorder to guide clinical work.Statistical analysis: In this paper, the SPSS16.0statistical software.Result：All the Youden index is greater than0, the curettage of diagnostic value,and Youden index on the basis of sensitivity and specificity values are higher than0.6,which can be curettage presence of high diagnostic value and endometrial cancer inpostmenopausal patients J=0.9, can explain curettage for postmenopausal patients with malignant endometrial lesions diagnostic value.Conclusion1．curettage diagnosis of high value, especially for endometrial cancer, can bedescribed as the gold standard. And this article can be seen, the higher the accuracy ofcurettage for the diagnosis of postmenopausal patients with endometrial cancer inpostmenopausal patients.2．Curettage most easily missed lesions of endometrial polyps. So curettagepathology negative suspected polyps at the same time should pay attention to the resultsof other laboratory examinations, if necessary, again the curettage to improve accuracy.3.curettage missed endometrial cancer, the majority of atypical endometrialhyperplasia. Due to the well-differentiated adenocarcinoma with atypical hyperplasia isdifficult to distinguish, and endometrial cancer often co-exist with atypical hyperplasia,dysplasia results curettage to be vigilant...