LEVENT YAŞAR, Süha SÖNMEZ, Yakup ŞENSOY, kadir SAVAN, Osman ÖZYURT, Ziya ÇEBİ, Fehmi YAZICIOĞLU, Mehmet AYGÜN, Sefa KELEKÇİ

Benign nedenlerle yapılan histerektomi öncesi probe küretaj, kolposkopi, histeroskopi ve endoservikal küretajın tanısal değeri

Amaç: Benign nedenlerle histerektomi yapılan hastalarda preoperatif servikovajinal smear(SS) ve transvajinal ultrasonografi(TVS) ile probe küretaj(PK), kolposkopi, endoservikal kürtaj, histeroskopinin tanisal değerlerinin karşılaştırılması Materyal-Metod: Mart 2001- Temmuz 2002 tarihleri arasında Süleymaniye Doğum ve Kadın Hastalıkları Eğitim ve Araştırma Hastanesine başvuran ve benign nedenlerle histerektomi yapılan toplam 153 hasta çalışmaya dahil edildi. Tüm hastalara servikovajinal smear alındıktan sonra jinekolojik muayene, TVS, kolposkopi, histeroskopi, endoservikal ve PK yapıldı. Preoperatif bulgularla, postoperatif ameliyat piyesinin histopatolojik bulguları karşılaştırıldı. Veriler SPSS-II ile Wilcoxon'un işaretli sıralar eşleştirilmiş testi kullanılarak değerlendirildi. Bulgular: Kolposkopik biopsi ve postoperatif patolojik muayenede hiçbir hastada malign lezyon saptanmadı. Olguların SS ve endoservikal küretajları ile serviksin patolojik inceleme sonuçları arasında fark bulunamadı. Endometriyumun histopatolojik değerlendirilmesinde PK, TVS ve histeroskopi bulguları arasında anlamlı bir fark bulunamadı(P>0.05 j. Sonuç: Benign sebeplerle histerektomi yapılacak hastalara sadece SS ve TVS yapıldığında malign bir lezyon atlanmamaktadır. Bu hastalara PK, endoservikal küretaj, histeroskopi ve kolposkopi yapmanın tanıya önemli bir katkısı olmamaktadır.

Anahtar Kelimeler:

Küretaj, Histerektomi, Kolposkopi, Histeroskopi, Tanı teknik ve işlemleri

Diagnostic value of preoperative probe curettage, hysteroscopy, endocervical curettage and colposcopy in patients who were hysterectomised for benign diseases

Objectives: The aim of this study is to compare diagnostic value of hysteroscopy, colposcopy, endocervical curettage (EC), probe curettage (PC) with transvaginal ultrasonografi (TVS) and CS in for benign diseases patients who were hystenectomised. Materials and Methods: Totally 153 patients who applied to Stileymaniye Maternity Hospital between March 2001 and July 2002 were decided to be done hysterectomy for benign diseases were included in study. In all patients vaginal examination, CS, TVS, PC, EC, hysteroscopy and colposcopy were performed. The preoperative findings were compared with intraoperative and histopathologic examination of the hysterectomy material. Statistical analysis were done by Wilcoxon Signed Ranks test. P0.05): Conclusion: In patients who are planned hysterectomy for benign diseases., CS and TVS are enough for preoperative evaluation and there is no need to perform hysteroscopy, PC, EC and colpos¬copy for diagnostic procedures.

Keywords:

Curettage, Hysterectomy, Colposcopy, Hysteroscopy, Diagnostic Techniques and Procedures,

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