Endometrial patolojilerin araştırılmasında iki endometrial biyopsi tekniğinin araştırılması

Yıl 2019, Cilt: 2 Sayı: 1, 26 - 30, 01.04.2019

Hüseyin Pehlivan Askın Evren Güler Bülent Çakmak Melahat Atasever Serkan Bodur Mehmet Ferdi Kıncı Müfit Cemal Yenen

https://doi.org/10.33713/egetbd.458304

Öz

Amaç: Bu çalışmanın amacı, endometriyal patolojilerin tanısında histeroskopik
endometriyal biyopsi (H / S) ve prob kürtajının (P / C) tanısal performansını
karşılaştırmaktır.

Gereç ve Yöntemler: Çalışmamız Aralık 2010-Temmuz 2011 tarihleri
​​arasında üçüncü basamak doğum ve jinekoloji kliniğinde yapıldı. Prospektif
çalışmalarımızda, değerlendirmeler için kliniğimize başvuran 83 hastaya H / S
ve P / C biyopsilerinin histopatolojik sonuçları Endometriyum incelendi ve
kombine prosedürle (H / S ve P / C) karşılaştırıldı.

Bulgular: Histopatolojik sonuçlar; endometriyal polipler (% 48),
endometrial hiperplazi (% 13.2), submukoz myoma (% 4.8), endometrial kanser (%
4.8) ve normal endometriyal doku (% 28.9) idi. Endometriyal polip, submüköz
myom, endometriyal hiperplazi ve endometriyal kanser için H / S biyopsisi ile
biyopsi ve biyopsi ile biyopsi duyarlılık değerleri% 97.5 vs% 54,6,% 100 vs%
25,% 75 olarak bulundu. Sırasıyla% 100 ve% 63.6 ve% 100.

Sonuç: H / S, endometriyal polip ve submüköz myoma gibi fokal lezyonların tanısında
P / C'den daha üstündür. Endometriyal hiperplazi ve endometriyal kanser gibi
yaygın lezyonların teşhisi için hiçbir müdahalenin diğerinden istatistiksel
olarak üstün olmadığını saptadık.

Anahtar Kelimeler

Endometriyal patoloji, histeroskopi, prob kürtajı

The comparison of two endometrial biopsy techniques in detection of endometrial pathologies

Öz

Objective: The purpose
of this study is to compare the diagnostic performance of hysteroscopic
endometrial biopsy (H/S) and probe curettage (P/C) in the diagnosis of
endometrial pathologies.

Material and
Methods: Our study was conducted at a tertiary obstetrics and
gynecology clinic between December 2010 and July 2011. In our prospective
study, histopathological results of both biopsies with H/S and P/C applied to
83 patients admitted to our clinic for evaluation of endometrium, were examined
and compared with combine procedure (H/S and P/C).

Results:  Histopathological results were as
follows: endometrial polyps (48%), endometrial hyperplasia (13.2%), submucous
myoma (4.8%), endometrial cancer (4.8%), and normal endometrial tissue (28.9%). Sensitivity values of biopsy with H/S versus
biopsy with P/C for the endometrial polyp, submucous myoma, endometrial
hyperplasia and endometrial cancer were found as 97.5% vs. %54,6, 100% vs.%25 ,
75% vs. %100 and 63.6% vs. %100, respectively.

Conclusion: H/S was apparently
superior to P/C in diagnosis of focal lesions such as endometrial polyps and
submucous myoma. We determined none of the interventions to be statistically
superior to the other in diagnosis of diffuse lesions such as endometrial
hyperplasia and endometrial cancer. 

Anahtar Kelimeler

Endometrial pathology, hysteroscopy, probe currettage

Kaynakça

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