摘要
Abstract
Objective:To compare diagnostic accuracy and adequacy of endometrial sampler through which we can acquire both cytological and histological specimens with dilata-tion and curettage. Method:62 patients were diagnosed by endometrial sampler which had a special vacuum device to help gather cytological and histological specimens before D&C diagno-sis. Uterine cytological and acquisitions were categorized under five headings:unsatisfactory, normal,atypia,tumor cell suspicious and tumor cell. Histologic sections from endometrial sam-pler,together with cytology were compared with hysterectomy specimens from D&C. Chi-square, and T-test were used in the study. The sensitivity,specificity,diagnostic accuracy were calculat-ed. Result:By cytology, sensitivity, specificity, diagnostic accuracy were 83. 3%, 93. 9%, 91. 8% respectively between ES sampler and D&C,which can reach up to 84. 6%,95. 8%, 93. 4% respectively when the diagnose was associated with biopsy by the sampler. Conclusion:ES sampler and D&C showed almost equal accuracy rate in the diagnosis of endometrial pathol-ogies. ES sampler is a more economic and quick technique compared with D&C, and can be considered prior to D&C.关键词
子宫内膜病变/子宫内膜细胞学/子宫内膜组织学/子宫内膜采样Key words
Endometrial disease/Endometrial cytology/Endometrial histology/Endom-etrial sampling分类
医药卫生
