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岭南现代临床外科 ›› 2018, Vol. 18 ›› Issue (03): 323-326.DOI: 10.3969/j.issn.1009-976X.2018.03.021

• 论著与临床研究 • 上一篇    下一篇

子宫内膜癌筛查的临床方法比较

申孝1, 王雪莱2, 谭艳3, 张雪芳3, 方光光1*   

  1. 1. 深圳市第二人民医院妇科,广东深圳518035;2. 香港大学医学院公共卫生学院,香港特别 行政区;3. 深圳市大鹏新区妇幼保健院,广东深圳518120
  • 通讯作者: 方光光

Comparative analysis of clinical methods for endometrial carcinoma screening

QU Xiao,WANG Xuelai,TAN Yan,ZHANG Xuefang,FANG Guangguang   

  1. 1. Department of Gynecology,Shenzhen Second People s Hospital,Shenzhen,Guangdong 518035, China;2. School of Public Health,Hongkong University,Hongkong,China;3. Maternal and Child Health Hospital,Shenzhen,Guangdong 518120,China
  • Online:2018-06-20 Published:2018-06-20
  • Contact: FANG Guangguang

摘要: [摘要] 目的 探讨 Pipelle 内膜取样器和 Tao Brush 内膜采样器在子宫内膜癌(EC)筛查中的诊断价值比较。方法 随机选取2015 年7 月至2017 年7 月间在深圳市第二人民医院妇科收治拟行诊刮术的 200 例患者,分入 Tao 刷组和 Pipelle 吸管组各 100 例,分别用 Tao Brush 内膜采样器和Pipelle 内膜取样器进行子宫内膜取样,然后行诊刮术,均行液基细胞学分析和组织病理学分析, 比较两种内膜取样器的病理诊断符合率,以两组取材满意度、疼痛评分(VAS)、出血量、患者的依从性作为评价指标。结果 Pipelle 内膜取样器和Tao Brush 内膜采样器在出血量和疼痛程度、并发症、依从性上无统计学差异(P>0.05);Tao Brush 内膜采样器和Pipelle 内膜取样器与病理诊断的符合率均为 98% ,敏感度分别为 95.0% 和 93.1% ,特异度分别为 96.0% 和 93.9% ,阳性预测值96.0%和 93.0%,阴性预测值 95.0%和 93.0%;在控制相关因素下,Tao Brush 内膜采样器和 Pipelle内膜取样器相比刮诊的符合率无统计学差异(P > 0.05)。结论 两种方法均可用于子宫内膜癌的筛查,但Tao Brush 价格和诊断价值优于Pipelle 吸管,可为作为首选。

关键词: Tao Brush, 子宫内膜癌, 筛查, Pipelle

Abstract: [Abstract] Objectives To compare the diagnostic value of Pipelle endometrial sampler and Tao brush endometrial sampler in endometrial cancer screening. Method 200 patients with abnormal uterine bleeding had endometrial sampling with randomly either Pipelle,or Tao brush sampler,were compared with D&C as gold standard,in the department of Obstetrics and Gynecology Unit,the Second Hospital of Shen Zhen,China,during the period of July 2015?July,2017. Pain score(VAS),bleeding volume,adequacy of samples and patient s compliance were also compared between the two groups. Results There was no significantly difference in the diagnostic accuracy between two groups(P>0.05), with a correlations of both 98% compared with D&C; and the patients factors in bleeding volume, VAS, sample adequacy and complications were matched with no statistic significance (P>0.05). Respectively,the sensitivity and specificity of two groups was 95.0% ,93.1% ,96.0% and 93.9% respectively;and the positive predictive value and the negative predictive value was 96.0% ,93.0% , 95.0% and 93.0% ,respectively in each group. It s indicated that there is no significant difference in accuracy between Tao brush and Pipelle biopsy compared with D&G as gold standard in diagnosing(P> 0.05). Conclusion It is concluded that both Tao brush and Pipelle biopsy are useful and cost?effective sampler methods compared with D&C,whist Tao brush perhaps has higher accuracy by taking biopsy for the patient thereby for early diagnosis of malignancy.

Key words: Tao Brush, endometrial cancer, screening, pipelle

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