Abstract:

Purpose: An abnormal uterine bleeding and an increase in endometrial thickness were aimed at comparing the results of Pipelle biopsy and dilatation & curtage (D&C) in endometrial sampling patients and researching the factors affecting the diagnostic accuracy of Pipelle biopsy.®®Method: Apply to the Tekirdağ State Hospital, Women's Diseases and Birth Clinic due to abnormal uterine bleeding and/or endometrial thickness and compared the results with the file scan retrospective of 122 events with the endometrial sampling of Pipelle D&C in the same session.® Results: In the results of biopsy performed by Pipelle method, 44 (%36.1) polyp, 26 (%21.3) atrophy, 34 (%27.9) proliferative endometrium, 11 (%9.0) secretive endometrium, 4 (%3.3) carcinoma, 1 (%0.8) atypistic hyperplasia, 2 (%1.6) inflammation were.®In biopsy by D&C method 55 (%45,1) polyps, 20 (%16,4) atrophy, 31 (%25,4) proliferative endometrium, 9 (%7,4) secretive endometrium, 4 (%3,3) carcinoma, 1 (%0,8) atypistic hyperplasia, 2 (%1,6) inflammation were detected.Compatibility rates of both methods were determined for proliferative endometrium, atrophy, polyps, secretory endometrium, endometrium cancer, atypistic hyperplasia and inflammation respectively as 97.6, 95.3, 91.7, 98.3, 100%, 100% and 100%.Incompatibility between the two diagnostic methods was most observed in endometrial polyp pathology. The result: According to our findings, there has been a very high correlation between Pipelle biopsy and D&C procedure in terms of pathological results.®Pipelle biopsy can be preferred safely instead of the D&C procedure for the diagnosis of endometrial pathologies due to the lack of anesthesia, the low amount of pain and the low risk of postoperative complications.®On the other hand, D&C sampling is preferred in endometrial polyp cases that are the most incompatible between the two methods and may lead to a failure in Pipelle Biopside.®

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