Lukman H Y, Dikran P
Department of Obstetrics and Gynaecology, Faculty of Medicine, Addis Ababa University, Ethiopia.
East Afr Med J. 1995 Sep;72(9):599-604.
In a 12-month period, a total of 507 diagnostic curettages were performed with manual vacuum aspiration (MVA) and sharp metallic curettage (SMC), at the Gandhi Memorial Hospital (GMH). Of these, 406(80.1%) and 101(19.9%) were managed with MVA and SMC, respectively. The bulk of the study population were married, of urban residence, paying and treated on ambulatory basis in the minor operation theater without anaesthesia and analgesia. There were significant differences in the gravidity, parity and abortion frequency of the groups (P < 0.05). The mean ages for MVA and SMC were 35.9 years +/- SD 7.6 years and 36.5 years +/- SD 8.5, years respectively (P < 0.05). The majority of the study population that were subjected for histopathological evaluation of the corpus uteri were in the age group of 35-39 years and accounted for 137 (27.0%) with a cumulative frequency of 66.1%. The service providers handled most of the cases with MVA (P > 0.05) and the indications were mainly for abnormal uterine bleeding and endometrial dating. The histological yields were 97.0% for MVA and 80.2% for SMC. The adequacy of the specimen for MVA and SMC were 0.95 and 0.78, respectively. Even if inadequate and non-conclusive are merged together, the adequacy of the specimen would still be 0.91 and 0.74 for MVA and SMC respectively, maintaining the same proportion. Coincidentally, the diagnostic accuracy for endometrial polyp and also for endometrial carcinoma were 0.7 for MVA and 0.3 for SMC. Our results are similar to that of other researchers.(ABSTRACT TRUNCATED AT 250 WORDS)
在12个月期间，甘地纪念医院（GMH）共进行了507例诊断性刮宫，采用手动真空吸引术（MVA）和锐性金属刮匙刮宫术（SMC）。其中，分别有406例（80.1%）和101例（19.9%）采用MVA和SMC进行处理。研究人群大多已婚，居住在城市，自费且在小手术室进行非麻醉和镇痛的门诊治疗。两组的妊娠次数、产次和流产频率存在显著差异（P < 0.05）。MVA组和SMC组的平均年龄分别为35.9岁±标准差7.6岁和36.5岁±标准差8.5岁（P < 0.05）。接受子宫体组织病理学评估的研究人群大多在35 - 39岁年龄组，有137例（27.0%），累积频率为66.1%。服务提供者处理的大多数病例采用MVA（P > 0.05），其适应证主要为异常子宫出血和子宫内膜分期。MVA的组织学阳性率为97.0%，SMC为80.2%。MVA和SMC标本的充足率分别为0.95和0.78。即使将不足和不确定的标本合并在一起，MVA和SMC标本的充足率仍分别为0.91和0.74，比例保持不变。巧合的是，MVA对子宫内膜息肉和子宫内膜癌的诊断准确率为0.7，SMC为0.3。我们的结果与其他研究人员的结果相似。（摘要截断于250字）
