Sabahattin Anıl ARI, Ayşe Rabia ŞENKAYA, İbrahim KARACA, Deniz ÖZTEKİN

Paraservikal Blok Altında Yapılan Düşük Basınçlı Endometrial Biyopsilerde Başarısızlık Nedenlerinin Araştırılması

Amaç Ofis şartlarında uygulanması sebebi ile popüler hale gelen pipelle endometrial biyopsi sonrası histopatolojik tanı için yeterli materyal elde edilememesi tekniğin olumsuz yönü olarak öne çıkmaktadır. Çalışmanın amacı pipelle biyopsi başarısızlığının nedenlerini ortaya koymak olarak belirlenmiştir. Gereç ve Yöntem İzmir Bakırçay Üniversitesi Kadın Hastalıkları ve Doğum Anabilim Dalı’nda 2019-2022 yılları arasında pipelle biopsi işlemi uygulanan olgular planlanan retrospektif çalışmaya dahil edilmiştir. Belirlenen olguların yaş, boy, kilo, vücut kitle endeksi, gebelik ve doğum sayıları ile doğum tipleri, işlemin tıbbi gerekçesi, işlem öncesi endometrial duvar kalınlıkları, ek hastalıkları, biyopsi başarısızlık nedenleri kaydedilmiştir. Bulgular Çalışmaya 317 hasta alınmıştır. Olguların median yaşı 45 (min: 35 maks:88) olarak saptanmıştır. Ortalama VKI 25,06 (±3,7) olarak bulunmuştur. Materyal alınabilen 315 hastanın 266’sına (%84,4) histopatolojik tanı konulmuştur. 49 (%15,6) hastaya materyal yetersizliği nedeni ile histopatolojik tanı konulamamıştır. Tek değişkenli lojistik regresyon analizinde ileri yaş (OR 0,83, %95 CI 0,79-0,88, p=0,001), PMVK endikasyonu (OR 20,8, %95 CI 10-43,4, p=0,001), endometrial kalınlığın

Anahtar Kelimeler:

Endometrial biyopsi, paraservikal blok, örneklem yetersizliği pipelle biyopsi, pipelle biyopsi

Risk Factors of Low-Pressure Endometrial Biopsies Failures Under Paracervical Block

Aim The inability to obtain sufficient material for histopathological diagnosis after endometrial biopsy with pipelle cannula stands out as the negative aspect of the technique. The aim of the study was determined to reveal the risk factors for pipelle biopsy failure. Materials and Methods The cases who underwent biopsy with pipelle between 2019-2022 in İzmir Bakircay University, Department of Obstetrics and Gynecology were included in the planned retrospective study. Age, height, weight, body mass index, number of pregnancies and births, types of delivery, indication for the procedure, endometrial wall thickness before the procedure, comorbidities, and causes of biopsy failure were recorded. Results A total of 317 patients were included in the study. The median age of the cases was 45 (min: 35, max: 88). The mean BMI was found as 25.06 (±3.7). Pipelle biopsy failed in 49 (15.6%) patients due to lack of material. Advanced age (OR 0.83, 95% CI 0.79-0.88, p=0.001), post-menopausal bleeding as an indication (OR 20.8, 95% CI 10-43.4, p=0.001), endometrial thickness

Keywords:

Endometrial biopsy, paracervical block, pipelle biopsy, sample failure,

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