摘要
目的比较子宫内膜细胞采集器和负压吸引刮宫术获取围绝经期子宫异常出血患者子宫内膜组织的准确性及其临床意义。方法方便选取2013年8月—2015年3月在嘉祥县人民医院门诊就诊子宫内膜厚度均≥1.0 cm的围绝经期子宫异常出血的患者50例,在知情同意情况下先利用子宫内膜采集器获取子宫内膜组织,再行负压吸引刮宫术。比较两种检查方法的取材满意度、诊断结果及疼痛感的差异。结果两种方法标本合格率及病理诊断均无明显差异(P>0.05),疼痛感比较差异有统计学意义(P<0.05),其中负压吸引诊刮标本满意度率为98.0%、病理诊断结果为单纯性增生25例、增生紊乱10例、增生反应5例、分娩期内膜4例以及子宫内膜息肉3例,中重度疼痛发生率为53.2%;子宫内膜采集器标本满意度率为94.0%、病理诊断结果为单纯性增生23例、增生紊乱9例、增生反应8例、分娩期内膜4例以及子宫内膜息肉3例,中重度疼痛发生率为0.0%。结论应用子宫内膜细胞采集器采集子宫内膜组织方法简单,便于操作,在围绝经期子宫异常出血的病因诊断中有较好的应用价值。
Objective To compare the accuracy and clincial significance of endometrial sampling device for cytology and vacuum suction uterine curettage obtaining the endometrial tissues of patients with Abnormal uterine bleeding during the ?perimenopausal period. Methods Convenient selection 50 cases of patients with abnormal uterine bleeding during the perimenopausal period whose Endometrium thickness ≥1.0 cm in our hospital from August 2013 to March 2015 were selected and the endometrial tissues were obtained firstly by the endometrial sampling device for cytology and then vacuum suction uterine curettage with the content of patients, and the differenes in the satisactory degree of materials drawing, diagnsois results and pains were comapred betwne the two groups. Results There were no obvious differences in the specimen qualified rate and patholgoicla diagnsis between the two groups(P<0.05), but the difference in the pains between the two groups was obvious(P<0.05). and the satisfactory rate of vacuum suction uterine curettage specimens was 98.0%, and the pathological diagnositc results showed that there were 25 cases with simple hyperplasia, 10 cases with hyperplastic disorders, 5 cases with hyperplastic reactions, 4 cases with endometrium at the labour stage, 3 cases with endometrial polyps, and the incidence rate of moderate and severe pains was 53.2%, the satisfactoy rate of specimens by the endometrial sampling device for cytology 94.0%, and the patholgical diagnosis results showed that there were 23 cases with simple hyperplasia, 9 cases with hyperplastic disorder, 8 cases with hyperplastic reactions, 4 cases with endometrium at the labour stage,3 cases with endometrial polyps and the incidence rate of moderate and severe pains was 0. Conclusion The method of Endometrial sampling device for cytology in collecting the endometrial tissues is simple and it is easy to operate, and it is of better application value in etiological diagnosis of abnormal uterine bleeding during the perimenopausal period.
出处
《中外医疗》
2017年第24期39-41,共3页
China & Foreign Medical Treatment
关键词
围绝经期
异常子宫出血
子宫内膜采集器
负压吸引刮宫术
Perimenopausal period
Abnormal uterine bleeding
Endometrial sampling device for cytology
Vacuum suction uterine curettage
