Karaca Ibrahim, Yapca Omer Erkan, Adiyeke Mehmet, Toz Emrah, Karaca Suna Yildirim
Clinic of Obstetrics and Gynecology, Aliağa State Hospital, İzmir, Turkey.
Department of Obstetrics and Gynecology, Ataturk University, School of Medicine, Erzurum, Turkey.
Eurasian J Med. 2016 Oct;48(3):189-191. doi: 10.5152/eurasianjmed.2016.0068.
To evaluate the efficacy of cervical lidocaine gel in reducing patient discomfort during Pipelle endometrial sampling.
From September 2012 to January 2013, 137 patients were evaluated with Pipelle endometrial biopsy. For group 1 (77 women), 2% lidocaine gel was applied to the cervical canal 3 min before endometrial sampling. For group 2 (60 women), a placebo gel was applied. The pain experienced by the patients during biopsy was evaluated using a 100 mm visual analog scale.
The pain score was significantly lower during suction curettage (T3) in the group 1 than in the group 2. There was no significant difference between the groups in terms of pain score in other stages of the procedure (2.6±1.3 and 4.5±1.4; p=0.03).
Cervical 2% lidocaine gel is simple and effective for decreasing pain associated with Pipelle endometrial biopsy.
评估宫颈利多卡因凝胶在减少 Pipelle 子宫内膜取样过程中患者不适方面的疗效。
2012 年 9 月至 2013 年 1 月，137 例患者接受 Pipelle 子宫内膜活检评估。对于第 1 组（77 名女性），在子宫内膜取样前 3 分钟将 2%利多卡因凝胶应用于宫颈管。对于第 2 组（60 名女性），应用安慰剂凝胶。使用 100 毫米视觉模拟量表评估患者在活检过程中经历的疼痛。
第 1 组在刮宫吸引术（T3）期间的疼痛评分显著低于第 2 组。在该操作的其他阶段，两组之间的疼痛评分无显著差异（2.6±1.3 和 4.5±1.4；p = 0.03）。
宫颈 2%利多卡因凝胶对于减轻 Pipelle 子宫内膜活检相关疼痛简单有效。
