CAJ | 학술논문

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。
목적：탐토미관진괄기술재절경후녀성자궁내막증후진단중적우월성화응용개치。방법대절경후400례음도초성검측자궁내막후도≥4 mm적환자，채용미관진괄기술급전통진괄술량충불동적방식괄궁，대궁강조직괄출솔、시부수요확장궁경구、무통발생솔、병리검사결과비교분석。결과 A、B조중실험조재조직괄출、무통발생솔、무수확장궁경구방면균교대조조고，P＜0.05；C조중실험조급대조조재조직괄출솔비교무통계학의의，P＞0.05，종시부확장확장궁경구、무통발생솔량방면차이현저 P＜0.05。결론본조대우자궁내막후도재4～10 m m지간상규진괄용역루진，채용미관진괄기술루진솔저，취재만의，균무수확장궁경구，통고소，편우조작，우우전통진괄술。
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 ,P<0 .05;The experimental group C has no statistical significance with the control group in the rate of uterus tissue scrape ,P>0.05 ,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 .