宫腔细胞学检查筛查子宫内膜病变的临床研究.docVIP

精品论文 参考文献 宫腔细胞学检查筛查子宫内膜病变的临床研究 浙江省武义县妇幼保健院 妇产科 浙江 武义 321200 [摘要] 目的 探讨宫腔细胞学检查筛查子宫内膜病变的临床效果。方法 选取我院因阴道不规则出血，B超检查提示子宫内膜增厚的患者200例，所有患者分别实施宫腔细胞学检查以及组织病理学检查。观察两种诊断方式取材满意率以及诊断符合率，同时分析两种方式对患者的痛感评价。结果 细胞学检查的患者中仅有16例患者出现取材过程中出血过多、细胞采集过少，满意度为92.00%；而进行组织病理学检中，有46例患者出现取材过程中出血过多、细胞采集过少，满意度为仅为77.00%，两组数据比较差异具有统计学意义(Plt;0.05)。比较不同方式诊断过程中患者取材满意率，我们发现两组数据比较差异不具有统计学意义(Pgt;0.05)；比较不同方式取材过程中患者的疼痛度，我们发现经细胞学检查的患者，无痛患者有174例（87.00%），未出现明显疼痛患者；而进行组织病理学检测中，有178例患者出现明显疼痛（89.00%）。结论 综上所述，宫腔细胞学检查对子宫内膜病变的检测效果显著，可以显著改善普通检测过程中患者的不适，而且不会影响患者的诊断符合率，值得临床广泛的应用。 关键词：宫腔细胞学检查；子宫内膜病变；检测效果 【中图分类号】R823【文献标识码】A【文章编号】1001-5213(2016)08-0046-01 [Abstract] Objective To explore the clinical effect of uterine cytology screening for uterine endometrial lesions. Methods in our hospital because of irregular vaginal bleeding, B-ultrasound prompts 200 cases of patients with endometrial thickening, all patients were implemented uterine cytology and histopathology examination. Observation of two kinds of diagnosis the satisfactory rate of sampling and the diagnostic accordance rate are analyzed, and two ways of patients with pain evaluation. Results cytology in patients with only 16 cases were drawn in the process of excessive bleeding, too little cell acquisition, satisfaction was 92.00%; and group weaves the pathology inspection, 46 patients had drawn Process of excessive bleeding, cell collection is too small, the degree of satisfaction is only 77.00%, the difference between the two groups of data with statistical significance (P lt; 0.05). In the process of different diagnosis patients satisfactory rate of sampling, we found that the difference between the two groups of data does not have statistical significance (P gt; 0.05); comparison in different ways drawn the pain of patients in the process of degree, we found by cytological examination of patients, patients with painless has 174 cases (87.00%), obvious pain patient did not appear; and histopathological examination, there are 178 cases patients with obvious