论文部分内容阅读
用“Novak 刮匙”刮宫术是妇科宫内膜活检的常规手术,但妇科医生和病人均认为手术有缺点。有些妇科医生求助于麻醉下的刮宫术;此手术费用高、需住院和全身麻醉。取宫内膜细胞学标本的器械得进入宫腔,而一般细胞学实验室不容易做到。今提出的吸引活检术操作简易,可为一般实验室的常规组织病理学提供足够的标本去诊断。刮宫术在探针和刮匙放入宫腔前必须检查盆器,以了解子宫及其屈曲程度;遇肥胖和紧张者要在麻醉下施术。吸引活检术前可不必先行盆腔检查,有盆腔超声检查结果即可。钳夹并下牵宫颈以减少子宫屈曲程度,但会引起疼痛,出血及探针或刮匙造成子宫穿孔的危险。吸引活检采用柔软可塑的女用尿管代替刮匙,尿管长16.5cm,外径0.3cm,腔径0.2cm,距其顶端0.3cm 有一侧孔(0.4×0.2cm)。手术时尿管
With “Novak curette” curettage gynecological endometrial biopsy routine surgery, but gynecologists and patients are considered surgical shortcomings. Some gynecologists turn to curettage under curettage; this is a costly procedure that requires hospitalization and general anesthesia. Endometrial cytology specimens taken into the uterine cavity, and general cytology laboratory is not easy to do. The proposed suction biopsy operation is simple and can provide enough specimens for routine histopathology in general laboratories to diagnose. Curettage in the probe and curette into the uterine cavity must be checked before the pot to understand the uterus and its degree of flexion; in case of obesity and tension surgery under anesthesia. To attract biopsy before the pelvic examination may not have the first pelvic ultrasound examination results can be. Clamp and lower the cervix to reduce the degree of uterine flexion, but it can cause pain, bleeding, and the danger of perforation of the uterus with a probe or curette. Attract biopsy soft plastic female ureter instead of curette, catheter length 16.5cm, outer diameter 0.3cm, cavity diameter 0.2cm, from the top 0.3cm side hole (0.4 × 0.2cm). Surgical catheterization