常规子宫内膜活检在尼日利亚妇科实践中的价值。

The value of routine endometrial biopsy in gynaecological practice in Nigeria.

作者信息

Adewole I F, Babarinsa I A, Akang E E, Thompson M O

机构信息

Department of Obstetrics/Gynaecology & Pathology College of Medicine, University College Hospital, Ibadan.

出版信息

West Afr J Med. 1997 Oct-Dec;16(4):242-5.

PMID:9473961

Abstract

A review of 7,211 endometrial biopsy reports in a University Teaching Hospital in Nigeria, over a 6 year period revealed that 90.5% of samples from 5,795 patients with infertility and 83.4% of 1,416 patients with abnormal uterine bleeding were essentially normal. The yield for tuberculosis endometritis (0.49%) and uterine corpus malignancy (0.58%) was low. Eighty percent of patients with uterine malignancy were aged 40 years and above. In an era of medical audit and scarce human and financial resources, the wisdom of routine endometrial biopsy in all women with infertility and those with abnormal uterine bleeding who are younger than 40 years, is called to question.

摘要

对尼日利亚一家大学教学医院6年期间的7211份子宫内膜活检报告进行回顾发现，5795例不孕症患者样本中有90.5%以及1416例子宫异常出血患者样本中有83.4%基本正常。结核性子宫内膜炎（0.49%）和子宫体恶性肿瘤（0.58%）的检出率较低。80%的子宫恶性肿瘤患者年龄在40岁及以上。在医学审计以及人力和财力资源稀缺的时代，对所有40岁以下的不孕症女性和子宫异常出血女性进行常规子宫内膜活检是否明智，值得质疑。