Spann C O, Brown T, Kennedy J E, Wheeless C R
Department of Obstetrics and Gynecology, Grady Memorial Hospital, Atlanta, Georgia.
J Natl Med Assoc. 1993 Feb;85(2):117-9.
Two hundred eighty-nine patients were evaluated over a 23-month period to assess the efficacy of postcone biopsy endocervical curettage at the time of cervical conization. One hundred eleven patients were excluded because the endocervical curettage was insufficient or not performed, the final pathology on the cone biopsy and endocervical curettage revealed no dysplasia or cancerous process, or the endocervical margins were not assessed, leaving a total of 178 patients in the study population. A negative conization endocervical margin virtually assures no disease in the upper endocervical canal. The negative predictive value in this study population was 97%. We conclude that routine endocervical curettage is unnecessary for most patients and should be primarily considered for patients who are postmenopausal or for those receiving suboptimal conizations.
在23个月的时间里，对289例患者进行了评估，以评估宫颈锥切术时宫颈管搔刮术的疗效。111例患者被排除，原因包括宫颈管搔刮不足或未进行、锥切活检和宫颈管搔刮的最终病理显示无发育异常或癌变过程，或未评估宫颈管切缘，研究人群中最终共有178例患者。锥切宫颈管切缘阴性实际上可确保宫颈管上段无病变。该研究人群中的阴性预测值为97%。我们得出结论，大多数患者无需常规进行宫颈管搔刮术，主要应考虑对绝经后患者或锥切术不理想的患者进行该操作。
