子宫内膜采集器在绝经后子宫异常出血的子宫内膜细胞学检查中的应用  

Endometrial Sampling Device in Application of Endometrial Cytological Examination for Women with Postmenopausal Abnormal Uterine Bleeding

作　　者：武爱芳[1] 尹格平[1] 陈铭[1] 李娟[1] 季美玲[1] 韩燕[1] 常娜娜[1] 

机构地区：[1]济南军区总医院妇产科,济南250031

出　　处：《解放军医药杂志》2015年第1期86-88,96,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：卫生部科研基金资助课题(CJN10L084)

摘　　要：目的绝经后子宫异常出血进行子宫内膜病理诊断时,比较子宫内膜细胞采集器和诊断性刮宫获取子宫内膜活检组织的准确性及其临床意义。方法收集2012年5月—2014年5月就诊的188例绝经后子宫异常出血的需进行子宫内膜筛查的患者,所有患者先利用子宫内膜细胞采集器获取子宫内膜组织,再进行诊断性刮宫。比较两种检查方法的取材满意率、诊断结果、宫颈扩张及疼痛感觉等方面的差异。结果两种方法采集标本合格率、病理诊断均无显著差异(P>0.05),宫颈扩张情况、疼痛情况比较有显著性差异(P<0.05,P<0.01)。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、无须扩张宫颈、几乎无痛,适用于绝经后异常子宫出血时子宫内膜的筛查。Objective To compare the accuracy and clinical significance of endometrial biopsy tissues for women with postmenopausal abnormal uterine bleeding during endometrial pathological diagnosis,which were obtained by endometrial sampling device or diagnostic curettage. Methods A total of 188 patients with postmenopausal abnormal uterine bleeding during May 2012 and May 2014 were recruited in this study,and underwent a endometrium screening,and endometrial tissues of all patients were collected by endometrial sampling device first and then by diagnostic curettage. Satisfaction rate of materials,diagnosis outcome,cervical dilatation and degree of pains of the two methods were compared.Results There were not significant differences in qualification rate of collect specimens and pathological diagnosis in the two groups（ P〉0. 05）,while the differences in cervical dilation and degree of pains were statistically significant（ P〈0. 05,P〈0. 01）. Conclusion Endometrial sampling device in application of endometrial cytological examination is simple and easy to operate without cervix dilatation or pain,therefore it is suitable for screening abnormal uterine bleeding after menopause.

关 键 词：绝经后期 子宫出血 子宫内膜 子宫内膜细胞采集器 

分 类 号：R711.74[医药卫生—妇产科学]