Hott H, Poblete M T, Naranjo E
Servicio de Obstetricia y Ginecología y Anatomía Patológica, Hospital Base Valdivia, Universidad Austral de Chile.
Rev Chil Obstet Ginecol. 1995;60(1):38-42.
The differential diagnosis between abortion and ectopic pregnancy has important clinical implications. In this report we have tested the accuracy of frozen sections in uterine curettings to identify intrauterine pregnancy. Uterine curettings with a diagnosis of products of gestation, from 104 patients were studied. In all of them plasmatic levels of B Gonadotrophin were measured. The curetting material was fixed and studied on frozen sections and on paraffin embedded tissue. A high positive relationship between frozen and embedded material was observed. The sensibility, specificity, positive and negative predictive value of the frozen section to detect chorionic villi were 90.6; 100; 100 and 74% for each of them.
流产与异位妊娠的鉴别诊断具有重要的临床意义。在本报告中,我们测试了刮宫组织冰冻切片用于识别宫内妊娠的准确性。对104例诊断为妊娠产物的刮宫组织进行了研究。所有患者均检测了血浆β-促性腺激素水平。刮宫组织固定后进行冰冻切片和石蜡包埋组织研究。观察到冰冻组织与包埋组织之间存在高度正相关。冰冻切片检测绒毛膜绒毛的敏感性、特异性、阳性预测值和阴性预测值分别为90.6%、100%、100%和74%。