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[诺瓦克导管活检与刮宫术子宫内膜活检的组织病理学相关性]

[Histopathological correlation of biopsy of the endometrium between Novak's catheter and curettage].

作者信息

Rodríguez Cerezo C R, Estrada Soria L, Toro Calzada R J

机构信息

Hospital General Tacuba, ISSSTE.

出版信息

Ginecol Obstet Mex. 2000 Sep;68:394-9.

Abstract

It was accomplished a longitudinal retrospective and comparative study in the General Hospital Tacuba of the ISSSTE, From 1 July 1995 to the 30 of June of 1996, in order to determine the sensibility and specificity of the diagnosis obtained by means of Novak's cannula and the curettage, comparing them with the result obtained in the hysterectomy. From 194 hysterectomies performed in that period, 69 patient were excluded remaining 125 patient. We correlated the results from both methods with the results of the histological study of the uterus gotten by hysterectomy. It was found for the biopsy taken by Novak's cannula a specificity and sensibility of the 75% and for the curettage a sensibility of 63.26% and specificity of 65.30%, being a difference not meaningful for the sensibility as for the specificity between both methods (p > 0.01). Having a smaller mistake range when were tried to proliferative o secretor endometry, not thus when existed simple hyperplasia or with atypical endometrial hyperplasia. We concluded that both methods are equally useful for the study of the endometrial pathology.

摘要

在社会保障和服务部塔古巴综合医院进行了一项纵向回顾性比较研究,时间从1995年7月1日至1996年6月30日,目的是确定通过诺瓦克套管刮宫术获得的诊断的敏感性和特异性,并将其与子宫切除术的结果进行比较。在该期间进行的194例子宫切除术中,排除了69例患者,剩余125例患者。我们将两种方法的结果与通过子宫切除术获得的子宫组织学研究结果进行了关联。发现通过诺瓦克套管活检的特异性和敏感性为75%,刮宫术的敏感性为63.26%,特异性为65.30%,两种方法在敏感性和特异性方面的差异无统计学意义(p>0.01)。在试图诊断增殖期或分泌期子宫内膜时错误范围较小,而在存在单纯增生或非典型子宫内膜增生时则不然。我们得出结论,两种方法在子宫内膜病理学研究中同样有用。

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