子宫内膜采集器SAP-1在常见宫腔占位性病变诊断中的应用价值

Application value of endometrial sampler SAP-1 in the diagnosis of common uterine space-occupying lesions

目的探讨子宫内膜采集器(SAP-1)在子宫内膜息肉和黏膜下肌瘤诊断中的作用。方法选取2018年8月至2021年12月在澳门镜湖医院妇产科住院行宫腔镜检查的298例患者作为研究对象,术中先应用SAP-1采集子宫内膜,后行宫腔镜下诊刮术或电切术收集标本,以后者的病理诊断结果为金标准,分析SAP-1取材的诊断效能。结果应用SAP-1取材的标本满意率为91.6%,稍低于宫腔镜下取材的95.3%,两种方法比较,差异无统计学意义(P>0.05)。患者的子宫内膜病变以子宫内膜息肉(占48.7%)和黏膜下肌瘤(占7.4%)为主,132例子宫内膜息肉患者中,SAP-1取材检出16例;20例黏膜下肌瘤患者中,SAP-1取材未检出。结论当影像学检查提示子宫内膜息肉或黏膜下肌瘤等宫腔内实性占位病变时,SAP-1不适合用于标本采集,建议行宫腔镜检查明确诊断。

Objective To evaluate the effect of endometrial sampler SAP-1 as a sample-collecting tool to diagnose endometrial polyp and uterine submucous myoma.Methods From August 2018 to December 2021,a total of 298 patients who were hospitalized in Macao Kiangwu Hospital undergoing hysteroscopy examination were selected as the research objects.Before the procedure,endometrial samples were collected by the method of SAP-1.The histological results were used as the gold standard by hysteroscopic diagnostic scraping or electrodesiccation to analyze the diagnostic efficacy of SAP-1.Results The qualification rate of the SAP-1 sampling was 91.6%,which was slightly lower than that of hysteroscopy(95.3%),but there was no significant difference(P>0.05).Endometrial polyp(48.7%)and uterine submucous myoma(7.4%)accounted for the majority of endometrial lesions,while only 16 cases among 132 endometrial polyps and none of 20 submucous myomas were detected by SAP-1 sampling.Conclusion Endometrial sampler SAP-1 is not suitable for the sample-collecting procedure among patients suspected with uterine spaceoccupying lesions indicated by the imaging examination.Hystero scopy is recommended for definite diagnosis.