CAJ | 학술논문

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。
목적：절경후자궁이상출혈진행자궁내막병리진단시,비교자궁내막세포채집기화진단성괄궁획취자궁내막활검조직적준학성급기림상의의。방법수집2012년5월—2014년5월취진적188례절경후자궁이상출혈적수진행자궁내막사사적환자,소유환자선이용자궁내막세포채집기획취자궁내막조직,재진행진단성괄궁。비교량충검사방법적취재만의솔、진단결과、궁경확장급동통감각등방면적차이。결과량충방법채집표본합격솔、병리진단균무현저차이(P>0．05),궁경확장정황、동통정황비교유현저성차이(P<0．05,P<0．01)。결론응용자궁내막세포채집기채집자궁내막조직방법간단、편우조작、무수확장궁경、궤호무통,괄용우절경후이상자궁출혈시자궁내막적사사。
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 endom-etrial 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 en-dometrial tissues of all patients were collected by endometrial sampling device first and then by diagnostic curettage. Sat-isfaction 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.