摘要
目的探讨子宫内膜细胞学检查在诊断子宫内膜病变中的应用价值。方法2013年9至12月因不规则阴道出血，绝经后出血．子宫内膜增厚等原因就诊的患者50例，分别应用细胞采集器和诊刮采取子宫内膜组织，比较两种方法在取材满意率、出血量、疼痛程度、诊断符合率等差异。结果细胞采集器取材满意率96％，诊刮满意率90％，两者比较差异无统计学意义。出血量细胞学组均数（0．5±0．9）ml，诊刮组（7．2±8．1）ml，两者差异有统计学意义（t=-5．8131，P=O．0000）；疼痛程度比较，两组差异有统计学意义（P〈O．05）；子宫内膜癌的诊断符合率80％，非子宫内膜癌的诊断符合率97．7％。结论应用子宫内膜细胞学检查筛查子宫内膜病变简单方便、易于操作、出血量少、几乎无痛，适用于症状人群及高危人群的常规筛查。
Objective To evaluate the application value of uterine endometrial cytology in the diagnosis of endometrial lesions. Methods In 2013 September to 2013 December in our hospital outpatient and ward because of irregular vaginal bleeding, postmcnopausal bleeding, treatment of endometrial thickening, a total of 50 patients, respectively, using cell collector to collect the shedding of endometrial cells and curettage of uterine tissue taken two methods in the samples were satisfactory rate, amount of bleeding, pain degree the diagnostic accordance rate, and other aspects of the comparative study. Results ＇ In 50 patients by cell collector and curettage method both samples were satisfactory rate were 96% and 90%, no significant difference between the two groups. The bleeding amount was： the cytology group were 0.5 ± 0.9ml, curettage group were 7.2 ± 8.1ml, t=-5.8131, P=0.0000, the difference is not significant; the degree of pain： P〈0.05, there was a significant difference between the two groups. The diagnostic accordance rates of endometrial cancer were compared： diagnosis coincidence rate was 80%, the diagnosis of non endometrial cancer coincidence rate was 97.7%. Conclusion The application of endometrial cytology screening for endometrial lesions is feasible, and is simple and convenient, easy operation, less bleeding, less pain and other advantages, routine screening for asymptomatic population and high risk population, screening for endometrial carcinoma and endometrial benign lesions has played a very good warning effect.
出处
《浙江临床医学》
2015年第7期1094-1095,共2页
Zhejiang Clinical Medical Journal
