一家三级医院的子宫内膜取样结果
Results of Endometrial Sampling in a Tertiary Hospital.
作者信息
Esercan Alev, Demir Ismail, Eskiyoruk Ipek, Geckil Omer
机构信息
Obstetrics and Gynecology, Şanlıurfa Education and Research Hospital, Şanlıurfa, TUR.
出版信息
Cureus. 2023 Apr 11;15(4):e37454. doi: 10.7759/cureus.37454. eCollection 2023 Apr.
AIM
This study aims to investigate the results of endometrial sampling in a tertiary hospital according to age and symptoms.
MATERIALS AND METHODS
A total of 505 patients who underwent endometrial sampling due to various reasons in our tertiary hospital in the last six months were included in our study, and the pathological results of endometrial sampling were analyzed retrospectively.
RESULTS
The mean age of 505 patients was 45.03 + 7.40 (19-74) years, and 91.5% of the indications were premenopausal abnormal uterine bleeding and 8.5% were postmenopausal bleeding. The most common pathological result of all age groups was proliferative endometrium (37.6%), and the least was the endometrial intraepithelial neoplasia (0.2%). In 9.3% of patients, the result was insufficient material. Of the patients, 88.7% had no additional organic pathology. A total of 30 (5.9%) patients have undergone surgery after endometrial sampling.
CONCLUSION
It should be kept in mind that despite the pathological result may be insufficient rarely, endometrial sampling should be performed as the first choice in abnormal uterine bleeding.
目的
本研究旨在根据年龄和症状调查一家三级医院子宫内膜取样的结果。
材料与方法
本研究纳入了过去六个月内在我院因各种原因接受子宫内膜取样的505例患者，并对子宫内膜取样的病理结果进行回顾性分析。
结果
505例患者的平均年龄为45.03±7.40（19 - 74）岁，91.5%的指征为绝经前异常子宫出血，8.5%为绝经后出血。所有年龄组最常见的病理结果是增殖期子宫内膜（37.6%），最少见的是子宫内膜上皮内瘤变（0.2%）。9.3%的患者结果为取材不足。在这些患者中，88.7%没有其他器质性病变。共有30例（5.9%）患者在子宫内膜取样后接受了手术。
结论
应牢记，尽管病理结果偶尔可能不足，但子宫内膜取样仍应作为异常子宫出血的首选检查方法。
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