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203例子宫内膜癌手术切除子宫后,术者肉眼观察肌层浸润深度,依据最深浸润点分大于或小于宫壁50％,然后与快速冰冻切片法及病理镜检结果比较。结果:术中肉眼观察肌层浸润深度法的诊断符合率为89.66％,快速冰冻切片为92.61％,两者与组织病理镜检结果均有极显著的一致性(P<0.001),且差异无显著性(P>0.05);快速冰冻切片法的诊断指数(82.03)与术中肉眼观察法的诊断指数(75.08)差异无显著性(P>0.05)。术中肉眼观察法低估肌层浸润深度者与组织学类型、病理学分级、手术病理学分期无关。认为术中肉眼观察肌层浸润是评估子宫内膜癌浸润适用而简易的方法。
203 cases of endometrial cancer after surgical removal of the uterus, the surgeon macroscopic myometrial invasion depth, according to the deepest infiltration points greater than or less than 50% of the uterine wall, and then compared with the rapid frozen section and pathological microscopy results. Results: The coincidence rate of intraoperative myometrial invasion depth was 89.66% and rapid frozen section was 92.61%, both of which were highly consistent with the results of histopathological examination (P <0.001), with no difference (P> 0.05). There was no significant difference between the diagnostic index (82.03) and the diagnostic index (75.08) of the macroscopic observation method in the rapid frozen section method (P> 0.05). Gross intraoperative visual field method to underestimate the depth of myometrial invasion and histological type, pathological grade, stage of surgical pathology unrelated. That the intraoperative observation of myometrial invasion is to evaluate the application of endometrial cancer and simple method.