采用不同子宫内膜取样器实施子宫内膜活检的诊断价值分析

发布时间：2018-04-21 15:58

本文选题：子宫内膜活检 + 子宫内膜取样器　；参考：《中国妇产科临床杂志》2017年04期

【摘要】：目的探讨JUSO子宫内膜取样器和Pipelle子宫内膜取样器在诊断子宫内膜病变的临床应用价值。方法选取2014年6月至2016年2月间北京大学深圳医院妇科门诊需行子宫内膜活检患者210例,采用JUSO(JUSO组,117例)、Pipelle子宫内膜取样器(Pipelle组,93例)及诊断性刮宫(诊刮组)获取子宫内膜组织,比较不同取材手段的取材满意度、病理诊断性、医生操作时间和患者疼痛指数。结果 JUSO组取样器与其诊刮组取材满意度分别为86.32%(101/117)和91.45%(107/117)(P0.05),Pipelle组与其诊刮组分别为80.65%(75/93)和89.25%(83/93)(P0.05),两种取样器取材满意度比较,差异均无统计学意义(P0.05)。JUSO组取样器与其诊刮组诊断正常子宫内膜、子宫内膜息肉、良性子宫内膜增生、子宫内膜癌及非典型增生的准确性比较,差异无统计学意义(P0.05),Pipelle组及其诊刮组比较,差异无统计学意义(P0.05)。JUSO组取样器与其诊刮组取材时间分别为(3.87±2.30)min和(10.04±4.98)min(P0.001),疼痛指数为3.67±2.04和6.86±2.38(P0.001);Pipelle组取样器与其诊刮组的取材时间为(3.54±2.3)min和(9.84±4.57)min(P0.001),疼痛指数为2.24±1.86和6.35±2.69(P0.001)。两种子宫内膜取样器取材时间比较,差异无统计学意义(P0.05),JUSO子宫内膜取样的患者疼痛指数高于Pipelle子宫内膜取样器(P0.05)。结论 JUSO子宫内膜取样器和Pipelle子宫内膜取样器进行子宫内膜取材用于病理学检查的临床应用中优于诊刮。
[Abstract]:Objective to evaluate the clinical value of JUSO endometrial sampler and Pipelle endometrial sampler in the diagnosis of endometrial lesions. Methods from June 2014 to February 2016, 210 patients with endometrial biopsy were selected from the Department of Gynecology, Shenzhen Hospital of Peking University, Beijing University. The endometrial tissues were obtained from 117 cases of JUSO(JUSO group with endometrial sampler and diagnostic curettage group (n = 93). The degree of satisfaction, pathological diagnosis, doctor's operating time and patient's pain index were compared between the two groups. Results the satisfactory rate of sampling and curettage in JUSO group was 86.32 / 101 / 117) and 91.45 / 107 / 107 / 107 respectively. The difference between the two groups was 80.65% 75 / 93 and 89.25% 83 / 93P0.05, respectively. There was no significant difference between the two samplers in the diagnosis of normal endometrium between the sampler and the curettage group. There was no significant difference in the accuracy of endometrial polyps, benign endometrial hyperplasia, endometrial carcinoma and atypical hyperplasia. There was no significant difference between the two types of endometrial sampler in sampling time. The pain index of patients with JUSO endometrial sampling was higher than that of Pipelle endometrial sampler (P0.05). Conclusion the clinical application of JUSO endometrial sampler and Pipelle endometrial sampler is superior to that of curettage.
【作者单位】：北京大学深圳医院妇产科深圳市妇科肿瘤医学工程技术研究开发中心;
【基金】：广东省深圳市科技计划项目(JCYJ20140415162338798);广东省深圳市科技计划项目(JCYJ20150601090833370) 深圳市科创委(GCZX2015043016200372)
【分类号】：R711

【相似文献】