Reyna Hinojosa R, Vargas Lopez E, Ramos Ramos R, Saleh Montalvo T
Ginecol Obstet Mex. 1989 Sep;57:242-6.
In order to determine the value of uterine curettage at the time of cervical conization, as well as morbidity for it, 318 patients were studied. The patients were sent because of abnormal Papanicolaous's test. The established diagnostic procedures were cervical biopsy directed by Schiller's test and/or colposcopy and cervical cone. In 151 cases cervical cone was done without endometrial curettage, and in 167 endometrial curettage was used simultaneously to cervical conization. The results show that curettage plus cervical conization had a morbidity of 9.6%, statistically significant (p less than 0.05) as compared with cervical conization (4%). Furthermore, there was an RR 2.7 times of greater risk with the first procedure, morbidity increased and it did not contribute to a more complete diagnosis.
为了确定宫颈锥切术时刮宫的价值及其发病率，对318例患者进行了研究。这些患者因巴氏试验异常而前来就诊。既定的诊断程序是在碘试验和/或阴道镜引导下进行宫颈活检以及宫颈锥切术。151例患者仅进行了宫颈锥切术，未进行子宫内膜刮宫；167例患者在宫颈锥切术的同时进行了子宫内膜刮宫。结果显示，刮宫加宫颈锥切术的发病率为9.6%，与单纯宫颈锥切术（4%）相比具有统计学意义（p<0.05）。此外，第一种手术的风险RR值高2.7倍，发病率增加，且并未有助于更完整的诊断。
