Kavak Z, Ceyhan N, Pekin S
Department of Obstetrics and Gynaecology, Marmara University Medical School, Istanbul, Turkey.
Aust N Z J Obstet Gynaecol. 1996 Feb;36(1):63-6. doi: 10.1111/j.1479-828x.1996.tb02926.x.
In this article, we aimed to investigate the value of Pipelle endometrial sampling with and without sonographic measurement of endometrial thickness in the diagnosis of endometrial disease. We studied prospectively 78 patients scheduled for dilatation and curettage in order to evaluate abnormal uterine bleeding. Sonographic measurement of the endometrial thickness and endometrial sampling with the Pipelle were performed before the curettage. The accuracy of ultrasonography and the Pipelle sampling was measured against the final diagnosis. In 68 cases (87.1%), the endometrial histological results of curettage agreed with those of the Pipelle sampling. Pipelle endometrial sampling had a sensitivity of 73% and a specificity of 100% for endometrial disease. The use of ultrasonography increased the sensitivity of the Pipelle aspiration from 73% to 90%.
在本文中，我们旨在研究在有或没有超声测量子宫内膜厚度的情况下，使用 Pipelle 子宫内膜取样法诊断子宫内膜疾病的价值。我们前瞻性地研究了 78 例计划进行刮宫术以评估异常子宫出血的患者。在刮宫术前进行了超声测量子宫内膜厚度以及使用 Pipelle 进行子宫内膜取样。根据最终诊断来评估超声检查和 Pipelle 取样的准确性。在 68 例（87.1%）病例中，刮宫术的子宫内膜组织学结果与 Pipelle 取样的结果一致。Pipelle 子宫内膜取样对子宫内膜疾病的敏感性为 73%，特异性为 100%。超声检查的使用将 Pipelle 抽吸的敏感性从 73%提高到了 90%。
