微管诊刮技术在绝经后妇女子宫内膜增厚中的应用研究

The value of Disposable Endometrial Biopsy pipelle in the diagnostic curettage of postmenopausal women

目的：探讨微管诊刮技术在绝经后女性子宫内膜增厚诊断中的优越性和应用价值。方法对绝经后400例阴道超声检测子宫内膜厚度≥4 mm的患者，采用微管诊刮技术及传统诊刮术两种不同的方式刮宫，对宫腔组织刮出率、是否需要扩张宫颈口、无痛发生率、病理检查结果比较分析。结果 A、B组中实验组在组织刮出、无痛发生率、无需扩张宫颈口方面均较对照组高，P＜0.05；C组中实验组及对照组在组织刮出率比较无统计学意义，P＞0.05，从是否扩张扩张宫颈口、无痛发生率两方面差异显著 P＜0.05。结论本组对于子宫内膜厚度在4～10 m m之间常规诊刮容易漏诊，采用微管诊刮技术漏诊率低，取材满意，均无需扩张宫颈口，痛苦小，便于操作，优于传统诊刮术。

Objective To discuss the possibility of using the Disposable Endometrial Biopsy pipelle in the diagnostic curettage of postmenopausal women .Methods The Disposable Endometrial Biopsy pipelle and the traditional diagnostic curettage were used in 400 postmenopausal women with an endometrial thickness of 4 mm or more which were determined by vaginal ultrasonic testing.Compared the uterus tissue scrape rate ,expend the cervical orifice or not ,the incidence of painless ,and the pathology results .Results The rate of experimental group A and B were higher than the control group in the uterus tissue scrape ,expend the cervical orifice or not and the painless ,P0.05 ,but they have significant difference in expend the cervical orifice or not ,and the incidence of painless ,P〈0.05 .Conclusions The Disposable Endometrial Biopsy pipelle has a lower misdiagnosed rate ,sat-isfactory samples ,without cervical dilation ,less pain ,and easy to operate .These aspects were better than the traditional diag-nostic curettage in the patients with an endometrial thickness between 4~10 mm .