门诊进行冷冻切片 Pipelle 子宫内膜活检在异位妊娠诊断中的价值。

The value of frozen section Pipelle endometrial biopsy as an outpatient procedure in the diagnosis of ectopic pregnancy.

作者信息

Al-Ramahi M, Nimri C, Bata M, Saleh S

机构信息

Department of Obstetrics and Gynaecology, Jordan University Hospital, Amman, Jordan.

出版信息

J Obstet Gynaecol. 2006 Jan;26(1):63-5. doi: 10.1080/01443610500378780.

DOI:10.1080/01443610500378780

PMID:16390714

Abstract

This is a prospective study evaluating 28 patients who were suspected to have ectopic pregnancy. Frozen section Pipelle endometrial biopsy was performed as an outpatient procedure to look for the presence of chorionic villi in the specimen. The sensitivity of the frozen section endometrial biopsy in detecting the presence of chorionic villi was 13.3% and the specificity was 100%. The positive predictive value was 100% and the negative predictive value was 50%. We concluded that frozen section endometrial biopsy was not helpful in predicting intrauterine gestational process; therefore, it has a limited application in patients suspected to have ectopic pregnancy.

摘要

这是一项前瞻性研究，评估了28例疑似异位妊娠的患者。门诊进行了冷冻切片的 Pipelle 子宫内膜活检，以寻找标本中是否存在绒毛。冷冻切片子宫内膜活检检测绒毛存在的敏感性为13.3%，特异性为100%。阳性预测值为100%，阴性预测值为50%。我们得出结论，冷冻切片子宫内膜活检对预测宫内妊娠过程没有帮助；因此，它在疑似异位妊娠患者中的应用有限。