Diagnostic Accuracy of Outpatient Endocervical Curettage Using Conventional and Vabra Curettage of the Cervix

With the object of examining the diagnostic accuracy of and pain reaction to endo-cervical curettage (ECC) either by using a new instrument, Vabra® mc cervix, or with a conventional 3 mm metal curette, 298 patients with histologically verified cervical intra-epithelial neoplasia (CIN) or cytological...

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Veröffentlicht in:Acta obstetricia et gynecologica Scandinavica 1988, Vol.67 (1), p.71-74
Hauptverfasser: Hald, Finn, Kristoffersen, Sven Erik, Hairi, Jalil, Hansen, Mogens Kern
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container_title Acta obstetricia et gynecologica Scandinavica
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creator Hald, Finn
Kristoffersen, Sven Erik
Hairi, Jalil
Hansen, Mogens Kern
description With the object of examining the diagnostic accuracy of and pain reaction to endo-cervical curettage (ECC) either by using a new instrument, Vabra® mc cervix, or with a conventional 3 mm metal curette, 298 patients with histologically verified cervical intra-epithelial neoplasia (CIN) or cytological suspicion have been involved in a consecutive prospective randomized trial. One hundred and forty-eight patients underwent curettage with the Vabra instrument (vabrasiol followed by conventional curettage; 150 underwent the same procedure, but in reverse order. In 114 patients, CIN was ascertained in one or both trials. Vabra® mc cervix found normal histology in 23 of these patients (20%), whereas conventional curettage showed normal histology in 58 patients (51%). Quantitatively, Vabra® mc cervix extracted significantly more tissue material than did conventional curettage. The pain intensity when using of Vabra® mc cervix was less servere. The present study showed diagnostic accuracy of Vabra® me cervix to be 80% (95% confidence limits: 63.38-80.73). compared with 49% (95% confidence limits: 35.17-54.35) when using conventional curettage.
doi_str_mv 10.3109/00016348809004171
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Ambulatory Surgical Procedures
Biological and medical sciences
Clinical Trials as Topic
Dilatation and Curettage - instrumentation
Dilatation and Curettage - methods
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Prospective Studies
Random Allocation
Tumors
Uterine Cervical Neoplasms - pathology
title Diagnostic Accuracy of Outpatient Endocervical Curettage Using Conventional and Vabra Curettage of the Cervix
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