子宫内膜取样器与传统诊刮术对于子宫内膜评估及诊断价值的比较

 目的  探讨子宫内膜取样器应用于子宫内膜评估及诊断中的临床价值。方法  收集我院宫颈疾病诊疗中心2012年1至3月因各种指征需要评估内膜的患者115例,分别使用子宫内膜取样器和诊断性刮宫术采取子宫内膜组织,比较两者的病理诊断符合率,并观察子宫内膜取样器的取材满意度、术中疼痛及出血情况,手术并发症以及患者的依从性。结果  子宫内膜取样器取材满意度为97.4%,依从性高达100%,其和诊断性刮宫获取子宫内膜组织的病理诊断结果基本一致,为96.4%,其中对于生理性子宫内膜的诊断两者的一致率达100%。研究中未见并发症发生,无不良事件。结论  应用子宫内膜取样器是一种操作简单、基本无创、费用低、患者依从性好的内膜诊断方法。

Comparison of the clinical value of endometrial sampling device and dilatation and curettage in endometrial screening

Objective  To evaluate the clinical value of endometrial sampling device in the endometrial screening.Methods   A total of 115 cases were enrolled with indications for endometrial biopsy for any indications in the medical center for diagnosis and treatment of cervical diseases of our hospital.They were evaluated for endometrium with endometrial sampling device prior to dilatation and curettage from Jan., 2012 to Mar., 2012.Pathological diagnostic accordance rate of the two methods was compared.The specimen sufficiency of endometrial sampling device,intraoperative pain and bleeding,postoperative complications,and the patients′ compliance were evaluated.Results   The sufficient sample rate of endometrial sampling device was 97.4%,the patients′ compliance rate was 100%,the pathological diagnostic accordance rate between endometrial sampling device and dilatation
and curettage was 96.4%,in which the accordance rate of physiological endometrium was 100%.No complications and adverse events were occurred in the study.Conclusions  Endometrial sampling device biopsy is a procedure with simplicity,minimal invasion,low cost and satisfactory patient compliance.