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近年来细胞学家们对子宫内膜癌早期诊断日益重视。但是由于宫颈阴道细胞学检查方法诊断率低;用正压行宫腔冲洗,易导致子宫内膜细胞的播散,尤其在恶性肿瘤,有通过输卵管进入腹腔的危险;刮宫是一种宫内膜病理学诊断的经典方法,但费用贵,需住院、麻醉和组织学检查;颈管内抽吸法首先用于子宫内膜的细胞学诊断,但获得材料较困难,内膜细胞少难作诊断。因此作者认为Grav-lee宫内膜喷射洗涤法有如下优点:(1)能提供足够数量的宫内膜细胞。(2)用等渗液冲洗宫腔各个部分所获标本较好。(3)用注射器装置产生负压故无扩散之虑。(4)不需住院和麻醉。(5)病人不适感轻。(6)数小时内即可作出诊断。(7)该装置价廉。作者选择200例年龄在40～70岁(平均年龄55岁)属于“危险组”,或有症状,以及宫颈阴道细胞学检查阳性或可疑的病人。作内膜喷射洗涤法细
In recent years, cytologists pay more and more attention to the early diagnosis of endometrial cancer. However, due to cervical vaginal cytology method of diagnosis is low; with a positive pressure uterine flushing, easily lead to the dissemination of endometrial cells, especially in malignancies, there is the risk of entering the abdominal cavity through the fallopian tube; curettage is an endometrial disease The classic method of nephrology diagnosis, but the cost is expensive, need hospitalization, anesthesia and histological examination; endotracheal suction method is first used for cytological diagnosis of endometrial, but difficult to obtain the material, less difficult for the diagnosis of endometrial cells. Therefore, the authors believe that Grav-lee endometrial jet wash method has the following advantages: (1) can provide a sufficient number of endometrial cells. (2) with isotonic solution to wash the uterine cavity obtained in all parts of the specimen better. (3) Negative pressure with syringe device so there is no proliferation of concerns. (4) No hospitalization and anesthesia. (5) patient discomfort light. (6) You can make a diagnosis within a few hours. (7) The device is cheap. The authors selected 200 patients 40 to 70 years of age (mean age 55 years) who belonged to the “dangerous group,” or those with symptoms that were positive and suspicious of cervical vaginal cytology. For endometrial jet washing method fine