Kristiansen J D, Clausen I, Nielsen M N, Thomsen S G
Department of Obstetrics and Gynecology, Odense University Hospital, Denmark.
Br J Obstet Gynaecol. 1993 Sep;100(9):839-41. doi: 10.1111/j.1471-0528.1993.tb14310.x.
To evaluate direct peroperative stereomicroscopic examination of endometrial curettings in the differentiation between miscarriage and ectopic pregnancy.
A prospective consecutive controlled study.
Odense University Hospital, Odense, Denmark.
One hundred and fifty-nine women with vaginal bleeding and/or abdominal pain in early pregnancy and no fetus seen on ultrasound.
The results of stereomicroscopy were compared with the histological diagnoses.
There was 90% (95% CI, 84-94%) agreement between the stereomicroscopic and histological examinations. Fifteen per cent had an ectopic pregnancy. The sensitivity of stereomicroscopy as a marker of ectopic pregnancy was 92% (73-99%), the specificity 94% (88-97%). The predictive value of a positive test was 73% (54-88%) and that of a negative test 98% (94-100%).
Direct peroperative stereomicroscopy of endometrial curettings is a valuable diagnostic tool for immediate differentiation between miscarriage and ectopic pregnancy.
评估术中直接对子宫内膜刮出物进行体视显微镜检查在鉴别流产与异位妊娠中的作用。
一项前瞻性连续对照研究。
丹麦欧登塞市欧登塞大学医院。
159例孕早期出现阴道流血和/或腹痛且超声检查未见胎儿的女性。
将体视显微镜检查结果与组织学诊断结果进行比较。
体视显微镜检查与组织学检查结果的一致性为90%（95%可信区间，84 - 94%）。15%的患者为异位妊娠。体视显微镜检查作为异位妊娠标志物的敏感性为92%（73 - 99%），特异性为94%（88 - 97%）。阳性试验的预测值为73%（54 - 88%），阴性试验的预测值为98%（94 - 100%）。
术中直接对子宫内膜刮出物进行体视显微镜检查是立即鉴别流产与异位妊娠的一种有价值的诊断工具。
