低压子宫内膜吸取取样技术在子宫内膜病变中的早期诊断价值分析

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1、低压子宫内醐醐t银术在子宫内膜酸中的早期珍刪紛析2018-04-0809:50:18中国现代医生2018年4期潘群沈春映景闻天［摘耍］鬥的探讨低压子宫内膜吸取取样技术在子宫内膜病变屮的；期诊断价值。方法收集2016年1月〜2017年1月就诊于本院有指征而需行子宫内膜评估的患者300例，先后采用低压子汽A膜吸引取样技术与诊断性刮汽术采集子汽A膜组织，并进行组织学诊断。比较两组诊断结果、手术时间、术屮出血fi、术后出血停止时间、疼痛视觉模拟(VAS)评分、患者检S满意度及样本质虽。结果低压子宫内膜吸取取样与刮宫取样诊断结果基木一致率达96.33%(

2、289/300):与刮宫取样病理诊断结果相对照，低压子宫内膜吸取取样对于病理性子宫闪膜病变诊断的灵敏度为54.17%，特异度为100.00%,阳性预测值100.00%，阴性预测值96.17%,约登指数为0.54。低压子宫内膜吸取取样较刮宮取樣手术吋间明显缩短，术中出血最明显减少，VAS评分明显降低，满意度评分明显升高，差异有统计学意义(P<0.05)。低压子宫闪膜吸取取样样本满意率为91.67%，刮宫术样本满意率为94.67%，两组比较差异无统计学意义(P>0.05)。结论低压子宫内膜吸取取样技术是一种有效、微创、操作简便的子宫内膜病变检査取材

3、手段。［关键词］低压子宮内膜吸取取样技术：诊断性刮宮术；子宮内膜病变；病理组织检S;诊断价值［屮图分类号］R7373［文献标识码］B［文章编号］1673-9701(2018)04-0064-04［Abstract］ObjectiveToanalyzetheearlydiagnosticvalueoflow-pressureendometrialaspirationsamplingtechniqueinendometriallesions.MethodsFromJanuary2016toJanuary2017,300patientswithin

4、dicationsandinneedofendometrialassessmentwhowereadmittedtoourhospitalwerecollected.Thepatientsweresuccessivelygivenlow-pressureendometrialaspirationsamplingtechniqueanddiagnosticcurettageforthecollectionofendometrialtissues,andhistologicaldiagnosiswascarriedout.Thediagnostic

5、results，surgerytime,intraoperativebloodloss，postoperativebleedingstoptime，painvisualanalogscore(VAS),patients*satisfactionwiththeexaminationsandsamplequalitywerecomparedbetweenthetwogroups.ResultsThebasiccoincidencerateoflow-pressureendometrialaspirationsamplingandcurettages

6、amplingwas96.33%(289/300)；comparedwiththeresultsofpathologicaldiagnosisofcurettagesampling,thesensitivityoflow-pressureendometrialaspirationsamplinginthediagnosisofpathologicalendometriallesionswas54.17%,specificitywas100.00%,positivepredictivevaluewas100.00%,negativepredict

7、ivevaluewas96.17%，andYoudenindexwas0.54.Thesurgicaltimeoflow-pressureendometrialaspirationsamplingwasshorterthanthatincurettagesampling,theintraoperativebloodlosswassignificantlyreduced,VASscorewassignificantlydecreased,andthescoreofsatisfactionwassignificantlyincreased.Thed

8、ifferenceswerestatisticallysignificant(P<0.05).Thesatisfactionrateoflow-pre