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门诊宫腔镜下使用 H Pipelle 进行子宫内膜取样的审核,并与 Pipelle de Cornier 进行文献回顾比较。

An audit of using the H Pipelle for endometrial sampling at outpatient hysteroscopy and literature review comparison with the Pipelle de Cornier.

机构信息

Minimally Invasive Therapy Unit and Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, The Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2012 Dec;165(2):299-301. doi: 10.1016/j.ejogrb.2012.07.021. Epub 2012 Aug 11.

DOI:10.1016/j.ejogrb.2012.07.021
PMID:22884589
Abstract

OBJECTIVE

To analyse the efficiency of the H Pipelle endometrial sampler at "no touch" (vaginoscopic) diagnostic hysteroscopy in terms of biopsy adequacy for histological diagnosis.

STUDY DESIGN

Retrospective descriptive study of 200 premenopausal women including comparison with previously published data on traditional biopsy instruments.

RESULTS

Biopsy was adequate in 82% of cases overall, rising to 87% in those without submucous fibroids or polyps. Comparison with published data on other biopsy instruments shows that the H Pipelle is at least as efficient.

CONCLUSION

The H Pipelle appears to be at least as effective as traditional endometrial samplers even after hysteroscopy but allows hysteroscopy and biopsy to be done using a purely "no touch" (vaginoscopic) technique.

摘要

目的

分析 H Pipelle 子宫内膜取样器在“无接触”(阴道镜)诊断性宫腔镜检查中用于组织学诊断的活检充足性。

研究设计

对 200 例绝经前妇女进行回顾性描述性研究,包括与传统活检仪器的先前发表数据进行比较。

结果

总体而言,活检充足的病例占 82%,在无黏膜下肌瘤或息肉的病例中上升至 87%。与其他活检仪器的已发表数据相比,H Pipelle 至少同样有效。

结论

即使在宫腔镜检查后,H Pipelle 似乎与传统的子宫内膜取样器同样有效,甚至可以使用纯“无接触”(阴道镜)技术进行宫腔镜检查和活检。

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