世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
35期
36-38
,共3页
子宫内膜细胞学%子宫内膜病变%子宫内膜癌
子宮內膜細胞學%子宮內膜病變%子宮內膜癌
자궁내막세포학%자궁내막병변%자궁내막암
endometrial cytology%endometrial lesions%endometrial cancer
目的：探讨应用子宫内膜细胞采集器（endometrial sampling device for cytology esdc）采集子宫内膜细胞，结合薄层液基细胞学技术，进行子宫内膜细胞学检查（ect，endometrial cytology test）筛查子宫内膜病变的可行性及临床应用价值。方法2013年10月至2014年4月于我院妇科门诊就诊需行子宫内膜活检患者100例，同时进行ect检查和分段诊断性刮宫术，比较两种检查方法的取材满意率、诊断结果、出血量及疼痛感觉等方面的差异。结果应用esdc采集子宫内膜细胞，结合薄层液基细胞学制片技术，进行ect检查，与分段诊刮术取材行组织病理学检查比较，诊断子宫内膜病变,在取材满意率、诊断结果符合率方面无显著性差异，在出血量、疼痛感觉方面有显著性差异。ect检查在诊断子宫内膜癌及子宫内膜不典型增生病变方面灵敏度为83.3%，特异度为92.1%。结论应用子宫内膜细胞采集器采集子宫内膜细胞，进行ect检查，筛查子宫内膜病变是完全可行的，并且具有简单方便、易于操作、出血量少、几乎无痛等优越性，适用于症状人群及高危人群的常规筛查。
目的：探討應用子宮內膜細胞採集器（endometrial sampling device for cytology esdc）採集子宮內膜細胞，結閤薄層液基細胞學技術，進行子宮內膜細胞學檢查（ect，endometrial cytology test）篩查子宮內膜病變的可行性及臨床應用價值。方法2013年10月至2014年4月于我院婦科門診就診需行子宮內膜活檢患者100例，同時進行ect檢查和分段診斷性颳宮術，比較兩種檢查方法的取材滿意率、診斷結果、齣血量及疼痛感覺等方麵的差異。結果應用esdc採集子宮內膜細胞，結閤薄層液基細胞學製片技術，進行ect檢查，與分段診颳術取材行組織病理學檢查比較，診斷子宮內膜病變,在取材滿意率、診斷結果符閤率方麵無顯著性差異，在齣血量、疼痛感覺方麵有顯著性差異。ect檢查在診斷子宮內膜癌及子宮內膜不典型增生病變方麵靈敏度為83.3%，特異度為92.1%。結論應用子宮內膜細胞採集器採集子宮內膜細胞，進行ect檢查，篩查子宮內膜病變是完全可行的，併且具有簡單方便、易于操作、齣血量少、幾乎無痛等優越性，適用于癥狀人群及高危人群的常規篩查。
목적：탐토응용자궁내막세포채집기（endometrial sampling device for cytology esdc）채집자궁내막세포，결합박층액기세포학기술，진행자궁내막세포학검사（ect，endometrial cytology test）사사자궁내막병변적가행성급림상응용개치。방법2013년10월지2014년4월우아원부과문진취진수행자궁내막활검환자100례，동시진행ect검사화분단진단성괄궁술，비교량충검사방법적취재만의솔、진단결과、출혈량급동통감각등방면적차이。결과응용esdc채집자궁내막세포，결합박층액기세포학제편기술，진행ect검사，여분단진괄술취재행조직병이학검사비교，진단자궁내막병변,재취재만의솔、진단결과부합솔방면무현저성차이，재출혈량、동통감각방면유현저성차이。ect검사재진단자궁내막암급자궁내막불전형증생병변방면령민도위83.3%，특이도위92.1%。결론응용자궁내막세포채집기채집자궁내막세포，진행ect검사，사사자궁내막병변시완전가행적，병차구유간단방편、역우조작、출혈량소、궤호무통등우월성，괄용우증상인군급고위인군적상규사사。
Objective to evaluate the feasibility of endometrial cytopathological examination combining the thinprep liquid based cytology test as a screening method for the diagnosis of endometrial lesions. Methods from october 2013 to January 2014 ,in our hospital gynecology clinic,50 cases who were examined cytopathologically. specimens obtained through dilatation and curettage were histopathologically examined. Blood loss and pain were also evaluated during the procedures. Results No signiifcant difference was found in coincidence rate and sampling success rate between endometrial cytopathological examination and dilatation and curettage, but there was a signiifcant difference in blood loss and pain when comparing these two procedures. endometrial cytopathological examination demonstrated a sensitivity of 82.3% for endometrial cancer and endometrial intraepithelial neoplasia.The speciifcity of endometrial cytopathological examination was 97.2%for endometrial cancer and endometrial intraepithelial neoplasia.Conclusion endometrial cytopathological examination is a simple, safe and reliable screening method for the diagnosis of endometrial lesions.
