Endometrial biopsy yog ib txoj kev kuaj mob uas ua los ntawm kev noj cov ntaub so ntswg me me rau kev kuaj mob.
Cov txheej txheem no yog ua haujlwm me me hauv gynecological, txij li thaum lub tsev me nyuam cov mucosa raug muab tshem tawm siv lub cuab yeej tshwj xeeb.
Endometrial biopsy yog raws li qhov pom ntawm cov qauv kev hloov pauv hauv endometrium hauv kev teb rau hormonal stimulation. Cov kws tshaj lij feem ntau sib cav hais tias qhov tseeb kev kuaj mob ntawm endometrial dysfunction tsuas yog ua tau nrog kev sib raug zoo ntawm tus gynecologist thiab tus kws kho mob. Hauv keeb kwm ntawm cov tshuaj, endometrial biopsy tau ua thawj zaug hauv xyoo 1937. Txhawm rau ua qhov kev kuaj mob kom raug los ntawm scrapings los ntawm endometrium, nws yog ib qho tsim nyog los tsim qee yam mob.
Yuav kom kuaj tau qhov tseeb, tus kws kho mob yuav tsum ua raws li qee txoj cai:
- hauv cov poj niam tsis muaj menyuam uas xav tias muaj lub voj voog anovulatory scrapings tau noj ua ntej kev coj khaub ncaws lossis ncaj qha thaum cev xeeb tub;
- repeated streak scrapings yog ua rau amenorrhea plaub lub lis piam nrog ib lub sij hawm ntawm ib lub lim tiam;
- nrog menorrhagia, scraping yog noj rau hnub thib tsib txog rau hnub thib kaum tom qab pib kev coj khaub ncaws;
- metrorrhagia scrapings feem ntau yog noj tam sim tom qab los ntshav;
- txhawm rau kuaj xyuas cov neoplasms, cov kab mob endometrial tuaj yeem noj rau txhua hnub ntawm lub voj voog.
Qhov purity ntawm qhov kev sim yog nyob ntawm qhov raug xaiv ntawm biomaterial. Yog tias cov ntaub so ntswg tawg tau xa mus rau kev kuaj xyuas, nws nyuaj heev los kho cov qauv ntawm endometrium. Kev kho kom zoo yuav tsum tau txais cov kab mob loj, uas tsis yog crushed ntawm endometrium. Nyob rau hauv tus txheej txheem ntawm curettage, tom qab txhua txoj kev ntawm cov curette raws phab ntsa, lub endometrium raug tshem tawm ntawm lub ncauj tsev menyuam.
Endometrial biopsy tuaj yeem ua tau ntau txoj hauv kev:
- ua tiav kev kuaj mob ntawm lub tsev menyuam. Feem ntau, curettage yog ua cais (thawj los ntawm lub tsev me nyuam kwj dej, tom qab ntawd los ntawm uterine kab noj hniav). Nyob rau hauv cov ntaub ntawv ntawm los ntshav, tshwj xeeb tshaj yog nyob rau hauv lub perimenopausal lub sij hawm, curettage ntawm tubal ces kaum ntawm lub tsev menyuam yog nqa tawm nrog kev pab los ntawm ib tug me me curette, vim hais tias nws yog nyob rau hauv cov cheeb tsam uas, raws li txoj cai, polypous loj hlob ntawm lub endometrium yog localized. Nws yog nyob rau hauv cov cheeb tsam uas malignancy pib. Yog tias xav tias mob qog noj ntshav (thaum thawj zaug txhaj tshuaj ntawm curette, mos, cov ntaub so ntswg tawg yog khawb), scraping nres tam sim;
- endometrial aspiration biopsy yog ua thaum kuaj loj ntawm cov poj niam txhawm rauendometrial cancer;
- stroke scrapings ntawm endometrium yog tsim los txiav txim siab cov kev cuam tshuam ntawm cov mucous membrane rau endocrine kev ua haujlwm ntawm zes qe menyuam, txiav txim siab ua rau muaj menyuam tsis taus, saib xyuas cov txiaj ntsig ntawm kev kho tshuaj hormone. Cov txheej txheem nthuav tawm no tsis siv rau kev los ntshav ntawm uterine.
Pipel biopsy ntawm endometrium yog ua los ntawm Paypel ntsuas (lub raj hloov tau nrog lub cheeb ntawm peb millimeters nrog ib sab qhov kawg). Ib lub piston yog muab tso rau hauv lub raj, zoo li nyob rau hauv ib tug pa syringe. Indications rau hom biopsy: los ntshav ntawm cov poj niam tshaj plaub caug; los ntshav vim yog siv cov tshuaj hormonal contraceptives; kuaj mob ntawm endometrium nyob rau hauv infertility; hnyav los ntshav hauv premenopause; menopausal los ntshav.
