使用 Pipelle 刮匙进行门诊子宫内膜取样。

Outpatient endometrial sampling with the Pipelle curette.

作者信息

Ben-Baruch G, Seidman D S, Schiff E, Moran O, Menczer J

机构信息

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Gynecol Obstet Invest. 1994;37(4):260-2. doi: 10.1159/000292573.

DOI:10.1159/000292573

PMID:8050731

Abstract

This study compares outpatient endometrial sampling using the Pipelle endometrial sampling curette with conventional dilation and curettage (D&C) in patients with abnormal uterine bleeding. Endometrial sampling with the Pipelle curette was performed in 172 and D&C in 97 women. No complications were encountered with either of these procedures. One hundred and seventy (98.8%) of the Pipelle aspirations attempted were successfully completed. Sufficient material for histological assessment was obtained in 154 (90.6%) of the women who underwent Pipelle endometrial sampling and in only 66 (68%) of those who underwent D&C (p < 0.0001). In postmenopausal women, adequate specimens were obtained in 74 of 88 (84.1%) by Pipelle and in only 22 of 48 (45.8%) by D&C. In 45 cases the histologic diagnosis of the endometrium obtained by Pipelle sampling was compared with the one of endometrium obtained by D&C or hysterectomy performed shortly thereafter. The diagnosis was identical in 43 (95.5%) cases. Endometrial sampling with the Pipelle was well tolerated causing occasionally only slight discomfort.

摘要

本研究比较了使用 Pipelle 子宫内膜取样刮匙进行门诊子宫内膜取样与传统刮宫术（D&C）在子宫异常出血患者中的应用情况。172 名女性接受了 Pipelle 刮匙子宫内膜取样，97 名女性接受了刮宫术。这两种操作均未出现并发症。170 例（98.8%）尝试的 Pipelle 抽吸操作成功完成。在接受 Pipelle 子宫内膜取样的女性中，154 例（90.6%）获得了足够用于组织学评估的材料，而在接受刮宫术的女性中，只有 66 例（68%）获得了足够材料（p < 0.0001）。在绝经后女性中，Pipelle 取样法在 88 例中有 74 例（84.1%）获得了足够标本，而刮宫术在 48 例中只有 22 例（45.8%）获得了足够标本。在 45 例病例中，将 Pipelle 取样法获得的子宫内膜组织学诊断结果与随后不久进行的刮宫术或子宫切除术获得的子宫内膜诊断结果进行了比较。43 例（95.5%）病例的诊断结果一致。使用 Pipelle 进行子宫内膜取样耐受性良好，偶尔只会引起轻微不适。