宫内节育器取出术中应用子宫内膜细胞采集器筛查子宫内膜病变的价值

发布时间：2018-02-19 21:23

本文关键词： 子宫内膜宫内避孕器子宫内膜细胞采集器子宫内膜组织活检　出处：《中国全科医学》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨宫内节育器(IUD)取出术中使用子宫内膜细胞采集器采集子宫内膜组织,进行子宫内膜病变筛查的临床应用价值。方法选取2014年4月—2015年10月于徐州市妇幼保健院进行IUD取出术的患者128例为研究对象。采用随机数字表法将患者分为试验组(62例)和对照组(66例)。两组按常规方法取出IUD,试验组取出IUD后用子宫内膜细胞采集器采集子宫内膜组织。记录两组术中出血量、手术时间、人工流产综合反应的发生情况及术后阴道流血持续时间。结果患者均完整取出IUD,两组患者术中出血量、手术时间、人工流产综合反应发生率及术后阴道流血持续时间比较,差异均无统计学意义(P0.05)。试验组因症取出IUD患者异常子宫内膜检出率为27.8%(10/36),高于无症状取出IUD患者的7.7%(2/26)(P=0.048)。结论在IUD取出术中应用子宫内膜细胞采集器采集子宫内膜组织行病理检查不增加术中及术后出血、手术时间及人工流产综合反应发生率,且因症取出IUD患者异常子宫内膜检出率高于无症状取出IUD患者。
[Abstract]:Objective to investigate the use of endometrial cell collector to collect endometrial tissue during IUD removal. Methods from April 2014 to October 2015, 128 patients undergoing IUD removal in Xuzhou Maternal and Child Health Hospital were selected as study objects. The patients were divided into two groups by random digital table. IUD was taken out by routine method in both groups, and endometrial tissue was collected by endometrial cell collector in the test group. The amount of intraoperative bleeding was recorded in both groups. Results IUD was removed completely in both groups. The incidence of synthetic abortion and the duration of postoperative vaginal bleeding were compared. The detection rate of abnormal endometrium in patients with IUD was 27.8%, which was higher than that in asymptomatic IUD patients (7.710 / 26). Conclusion during IUD removal, endometrial cell collector is used to collect endometrial tissue. Pathological examination did not increase intraoperative and postoperative bleeding. The rate of abnormal endometrium in patients with IUD was higher than that in patients with asymptomatic IUD.
【作者单位】：江苏省徐州市妇幼保健院宫颈疾病诊治中心;
【基金】：徐州市科学技术局社会发展项目(KC14SH043)
【分类号】：R711.74;R169.41

【参考文献】