Gimpelson R J, Rappold H O
Am J Obstet Gynecol. 1988 Mar;158(3 Pt 1):489-92. doi: 10.1016/0002-9378(88)90011-7.
A total of 276 women underwent both panoramic hysteroscopy and dilatation and curettage. All of these patients underwent directed endometrial biopsies through the hysteroscope. Indications for operation included abnormal bleeding, postmenopausal bleeding, suspected leiomyoma with bleeding, follow-up for adenomatous hyperplasia, intrauterine contraceptive device with bleeding, retained products of conception, infertility with bleeding, abnormal hysterosalpingogram with bleeding, and abnormal endometrial cells on Papanicolaou smear. In 223 cases the results of hysteroscopy and curettage were in agreement. Hysteroscopy revealed more information than curettage in 44 patients, whereas curettage revealed more information than hysteroscopy in only nine patients. When the results of this study are combined with those of previous studies, there is little doubt that panoramic hysteroscopy is superior to curettage in making an accurate diagnosis of pathologic conditions in the uterine cavity.
共有276名女性接受了全景宫腔镜检查及刮宫术。所有这些患者均通过宫腔镜进行了定向子宫内膜活检。手术指征包括异常出血、绝经后出血、疑似伴有出血的平滑肌瘤、腺瘤样增生的随访、伴有出血的宫内节育器、稽留流产、伴有出血的不孕症、伴有出血的子宫输卵管造影异常以及巴氏涂片检查发现异常子宫内膜细胞。在223例病例中，宫腔镜检查和刮宫术的结果一致。在44例患者中，宫腔镜检查比刮宫术揭示了更多信息，而只有9例患者刮宫术比宫腔镜检查揭示了更多信息。当本研究结果与先前研究结果相结合时，毫无疑问，全景宫腔镜检查在准确诊断宫腔病理状况方面优于刮宫术。
