Endometrial patolojilerin araştırılmasında iki endometrial biyopsi tekniğinin araştırılması

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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