MacKenzie I Z, Bibby J G
Lancet. 1978 Sep 9;2(8089):566-8. doi: 10.1016/s0140-6736(78)92895-7.
Of 1029 dilatation-and-curettage operations carried out in a 12-month period, more than half were in women aged under 40, and 38% were for menstrual disturbances. The yield of intrauterine disease in these groups was low--curettage for post-menopausal bleeding or discharge in 150 women detected 15 endomettrial carcinomas and a similar number of other endometrial lesions. The complication-rate resulting from curettage was 1.7%--i.e., equivalent to the overall rate of detection of endometrial carcinoma. Selection of patients submitted to uterine curettage could be better, but postmenopausal bleeding remains an indication for mandatory uterine curettage.
在为期12个月的时间里共进行了1029例刮宫手术，其中一半以上是40岁以下的女性，38%是针对月经紊乱进行的。这些人群中子宫内疾病的检出率较低——对150名绝经后出血或有分泌物的女性进行刮宫，仅发现了15例子宫内膜癌和数量相近的其他子宫内膜病变。刮宫引起的并发症发生率为1.7%——即等同于子宫内膜癌的总体检出率。接受子宫刮宫的患者选择可以更优化，但绝经后出血仍是必须进行子宫刮宫的指征。
