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子宫内膜染料灌注:一种评估子宫切除术标本中组织病理评估的新方法。

Endometrial dye instillation: a novel approach to histopathologic evaluation of morcellated hysterectomy specimens.

机构信息

Division of Urogynecology and Minimally Invasive Gynecology, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Department of Obstetrics and Gynecology, Hershey, Pennsylvania.

出版信息

J Minim Invasive Gynecol. 2013 Sep-Oct;20(5):667-71. doi: 10.1016/j.jmig.2013.04.009. Epub 2013 May 25.

DOI:10.1016/j.jmig.2013.04.009
PMID:23714746
Abstract

The purpose of this prospective pilot case study was to determine whether instillation of trypan blue dye into the uterine cavity before laparoscopic hysterectomy and morcellation aids in gross identification of endometrium. The most common commercially available trypan blue stain, VisionBlue was used in this study. Instillation was performed at the beginning of the procedure using an embryo transfer catheter. A sterile solution of trypan blue, 0.5 mL, was instilled transcervically into the uterine cavities in 12 patients before laparoscopic hysterectomy with uterine morcellation. The morcellated specimens were sent for routine gross pathologic and histologic examination. It was concluded that intrauterine instillation of trypan blue stained the endometrium, thus aiding the pathologist in identification of the endometrium in morcellated uterine specimens.

摘要

本前瞻性病例研究的目的是确定在腹腔镜子宫切除术和碎切术前向子宫腔内注入台盼蓝染料是否有助于大体识别子宫内膜。本研究使用了最常见的市售台盼蓝染色剂 VisionBlue。在手术开始时,使用胚胎移植导管进行灌注。在 12 例接受腹腔镜子宫切除术和子宫碎切术的患者中,经宫颈向子宫腔内注入 0.5 毫升无菌台盼蓝溶液。将碎切标本送检常规大体病理和组织学检查。结论是,向子宫内灌注台盼蓝染色了子宫内膜,从而帮助病理学家识别子宫碎切标本中的子宫内膜。

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引用本文的文献

1
Endometrial Carcinoma, Grossing and Processing Issues: Recommendations of the International Society of Gynecologic Pathologists.子宫内膜癌,大体检查与处理问题:国际妇科病理学家协会的建议
Int J Gynecol Pathol. 2019 Jan;38 Suppl 1(Iss 1 Suppl 1):S9-S24. doi: 10.1097/PGP.0000000000000552.
2
Laparoscopic Supracervical Hysterectomy with In-Bag Morcellation in Very Large Uterus.腹腔镜次全子宫切除术联合袋内粉碎术治疗超大子宫
Case Rep Med. 2017;2017:9410571. doi: 10.1155/2017/9410571. Epub 2017 Oct 17.