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目的:探讨子宫内膜筛刷采集子宫内膜细胞,进行宫腔细胞学检查,对子宫内膜病变尤其是子宫内膜癌中的应用。方法2006年10月～2008年10月在我院就诊的异常阴道流血或高危因素的患者(如激素治疗者及乳腺癌服用三苯氧胺)276例患者,进行细胞学检查和分段诊刮术病理组织学检查,比较两种检查方法的取材满意率,诊断结果符合率,出血量及疼痛感觉等方面的差异。结果:宫腔细胞学检查与分段诊断性刮宫术诊断符合率95.5%,取材满意度88.8%,诊刮术组满意率较高;出血量与患者疼痛感觉方面也有显著差异。结论;应用子宫内膜刷进行子宫内膜细胞学筛查子宫内膜病变是一种简便、易行、价廉且出血少、疼痛轻的好方法,可适用于高危人群的常规筛查。
Objective: To investigate the application of endometrial screening to collect endometrial cells for uterine cytology and endometrial lesions, especially endometrial cancer. Methods A total of 276 cases of patients with abnormal vaginal bleeding or high risk factors (such as hormone therapy and breast cancer taking tamoxifen) who were treated in our hospital from October 2006 to October 2008 were examined by cytology and segmental curettage Learning to check, comparing the two methods of screening satisfaction rate, the diagnostic accuracy, bleeding and pain and other differences. Results: The coincidence rate of uterine cytology and segmented diagnostic curettage was 95.5%, the satisfactory degree of material extraction was 88.8%, and the satisfactory rate of curettage group was higher. There was also significant difference between the amount of bleeding and the pain sensation of patients. Conclusion; Endometrial brushing endometrial cytology screening of endometrial lesions is a simple, easy, inexpensive and less bleeding, less pain, and can be applied to routine screening of high-risk groups.