Youssif S N, McMillan D L
Department of Obstetrics and Gynaecology, Whipps Cross Hospital, London.
Br J Hosp Med. 1995;54(5):198-201.
The pipelle endometrial biopsy (EB) is accurate, safe, economical and acceptable to patients, clinicians and pathologists. Transvaginal sonography can reduce the number of EBs needed, and when both techniques are used together the sensitivity and specificity in the diagnosis of endometrial adenocarcinoma reach 100%. Hysteroscopy and dilatation and curettage are indicated in the minority of patients under the age of 40 years.
Pipelle子宫内膜活检（EB）准确、安全、经济，且患者、临床医生和病理学家均可接受。经阴道超声检查可减少所需的EB数量，两种技术联合使用时，子宫内膜腺癌诊断的敏感性和特异性可达100%。宫腔镜检查及刮宫术适用于少数40岁以下的患者。
