Rubin S C, Battistini M
Obstet Gynecol. 1986 May;67(5):663-4. doi: 10.1097/00006250-198605000-00011.
Endometrial curettage often is done as a routine procedure at the time of cervical conization, although the indications for this are unclear. Of 207 consecutive cone biopsies done recently at the Medical College of Pennsylvania, 199 (96%) included endometrial curettage. Two patients exhibited mild endometrial hyperplasia; the rest had no significant abnormality. Three uterine perforations (1.5%) occurred. Routine endometrial curettage is not necessary at the time of conization, and should be limited to patients with specific indications for sampling the endometrium, based on history, physical examination, and the finding of abnormal glandular cells on cytology. It is estimated that the elimination of routine curettage would result in a savings of over $100 per patient.
子宫内膜刮除术通常在宫颈锥切术时作为常规操作进行，尽管其指征尚不清楚。在宾夕法尼亚医学院最近连续进行的207例宫颈锥形活检中，199例（96%）包括了子宫内膜刮除术。2例患者出现轻度子宫内膜增生；其余患者无明显异常。发生了3例子宫穿孔（1.5%）。在锥切术时，常规子宫内膜刮除术并非必要，应仅限于根据病史、体格检查及细胞学检查发现异常腺细胞而有特定子宫内膜取样指征的患者。据估计，取消常规刮除术将为每位患者节省超过100美元。
