自制子宫内膜取样器在子宫内膜病变诊断中的应用价值

目的：探讨自制子宫内膜取样器在子宫内膜病变诊断中的应用价值。方法：选取2014年11月至2016年1月上海市嘉定区妇幼保健院妇科收治的因子宫内膜病变可能有刮宫指征的患者80例。用自制子宫内膜取样器采集患者的子宫内膜组织后送病理检查;同时进行宫腔镜下诊断性刮宫,获取子宫内膜组织后送病理检查。比较两组病理诊断的一致性。结果：自制子宫内膜取样器组与宫腔镜刮宫组的病理诊断符合率为87.84%,两组一致性较好（Kappa值=0.75）。两组取样满意率差异无统计学意义（P=0.276）。取样器组手术时间明显短于宫腔镜刮宫组（P〈0.01）。结论：自制子宫内膜取样器的取样病理结果类似于宫腔镜检查下诊断性刮宫...

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Published in中国临床医学 Vol. 24; no. 3; pp. 412 - 415
Main Author 邓娟 程明军 朱莉华 朱美娟 曹云桂
Format Journal Article
LanguageChinese
Published 上海市嘉定区妇幼保健院妇科,上海,201821%上海市嘉定区妇幼保健院病理科,上海,201821 2017
Subjects
刮宫术
子宫内膜取样器
子宫内膜病变
子宫疾病
endometrial lesions
子宫内膜取样器
uterine diseases
endometrial sampler
子宫内膜病变
dilatation and curettage
子宫疾病
刮宫术
Online AccessGet full text
ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2017.20160735

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Summary:目的：探讨自制子宫内膜取样器在子宫内膜病变诊断中的应用价值。方法：选取2014年11月至2016年1月上海市嘉定区妇幼保健院妇科收治的因子宫内膜病变可能有刮宫指征的患者80例。用自制子宫内膜取样器采集患者的子宫内膜组织后送病理检查;同时进行宫腔镜下诊断性刮宫,获取子宫内膜组织后送病理检查。比较两组病理诊断的一致性。结果：自制子宫内膜取样器组与宫腔镜刮宫组的病理诊断符合率为87.84%,两组一致性较好（Kappa值=0.75）。两组取样满意率差异无统计学意义（P=0.276）。取样器组手术时间明显短于宫腔镜刮宫组（P〈0.01）。结论：自制子宫内膜取样器的取样病理结果类似于宫腔镜检查下诊断性刮宫,提示其可用于子宫内膜病变诊断。
Bibliography:DENG Juan1 , CHENG Ming jun1 , ZHU Li hua1 , ZHU Mei juan2 , CAO Yun-gui1（ 1. Department of Gynecology, Maternal and Child Health Hospital of Jiading District, Shanghai 201821, China ;2. Department of Pathology, Maternal and Child Health Hospital of Jiading District, Shanghai 201821, China）
31-1794/R
uterine diseases;dilatation and curettage;endometrial sampler;endometrial lesions
Objective：To study the application value of self-made endometrial sampler in the diagnosis of endometrial lesions.Methods：A total of 80 patients with endometrial lesions and indications for diagnostic curettage were enrolled in Department of Gynecology, Maternal and Child Health Hospital of Jiading District from November 2014 to January 2016.All of patients were presenting for endometrial biopsy by self-made endometrial sampler before hysteroscopy and diagnostic curettage.The pathologic diagnostic accordance of the two groups were evaluated.Results：The coincidence rate of pathologic diagnosis between self-made endometrial sampler and h
ISSN:1008-6358
DOI:10.12025/j.issn.1008-6358.2017.20160735