一次性宫腔组织吸引管在异常子宫出血诊断中的临床价值  

Clinical value of disposable uterine cavity tissue suction tube in diagnosing abnormal uterine bleeding

作　　者：郑妮[1] 孙奇[1] 韦静[2] 

机构地区：[1]广西医科大学第四附属医院病理科,广西柳州545005 [2]广西医科大学第四附属医院妇科,广西柳州545005

出　　处：《重庆医学》2015年第3期332-333,336,共3页Chongqing medicine

基　　金：广西壮族自治区卫生厅自筹经费科研课题(Z2012541)

摘　　要：目的探讨一次性宫腔组织吸引管在异常子宫出血诊断中的临床价值。方法选取因异常子宫出血需进行子宫内膜活检的患者75例,在接受常规分段诊刮术前利用一次性宫腔组织吸引管先获取子宫内膜组织。比较两种方法的取材标本满意率和诊断符合率。结果一次性宫腔组织吸引管取材标本满意率为85.3%(64/75),常规分段诊刮术取材标本满意率为94.7%(71/75),差异无统计学意义(P>0.05);一次性宫腔组织吸引管取材诊断符合率为90.3%(56/62),常规分段诊刮术取材诊断符合率为93.5%(58/62),差异无统计学意义(P>0.05)。结论一次性宫腔组织吸引管经济、有效、安全,可在一定程度上取代常规分段诊刮术作为评估异常子宫出血的初始检查。Objective To explore the clinical value of the disposable uterine cavity tissue suction tube in diagnosing abnormal u‐terine bleeding .Methods Seventy‐five patients ,who needed an endometrial biopsy because of abnormal uterine bleeding ,were se‐lected for this study .An endometrial biopsy was performed by a disposable uterine cavity tissue suction tube before the conventional suction dilatation and curettage （D＆C） .The sample satisfactory rate and the diagnose accordance rate of the two methods were compared .Results The sample satisfactory rate of the disposable uterine cavity tissue suction tube and of the D＆C was 85 .3%（64/75） and 94 .7% （71/75） respectively .The difference was not statistically significant（P〉0 .05） .The diagnose accordance rate of the disposable uterine cavity tissue suction tube and the D＆C was 90 .3% （56/62） and 93 .5% （58/62） respectively .The differ‐ence was not statistically significant（P〉0 .05） .Conclusion To a certain extent ,endometrial biopsy performed by disposable uter‐ine cavity tissue suction tube can be a substitute for D＆C as the initial inspection to assess abnormal uterine bleeding ,for its econo‐my ,efficiency and safety .

关 键 词：子宫出血 子宫内膜活组织检查 一次性宫腔组织吸引管 

分 类 号：R711.74[医药卫生—妇产科学]