Abstract：
:Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in postmenopausal women. Pregnancy is the only absolute contraindication to the procedure. The biopsy is performed with an endometrial biopsy catheter that is inserted through the cervix into the uterine cavity. The catheter's piston is then drawn out to create suction. Tissue sampling occurs by rolling the catheter while moving it in and out of the uterine cavity. Nonsteroidal anti-inflammatory drugs can be administered orally before the procedure, and topical lidocaine can be applied to the cervix before starting the procedure to reduce procedure-associated pain. A tenaculum should be applied only if required by cervical mobility or uterocervical angulation because it increases pain and lengthens procedure times. Cramping is a common adverse effect, but serious complications are rare. Patients should be referred for further evaluation if the procedure fails or an insufficient sample is obtained. Postmenopausal women and women with persistent or recurrent symptoms should receive further evaluation even when biopsy results are normal because blind sampling may miss focal lesions.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Williams PM,Gaddey HLsubject
Has Abstractpub_date
2020-05-01 00:00:00pages
551-556issue
9eissn
0002-838Xissn
1532-0650pii
d14860journal_volume
101pub_type
杂志文章abstract：:Cirrhosis is a diffuse process characterized by fibrosis and the conversion of normal liver architecture into structurally abnormal nodules. The modified Child-Pugh score, which ranks the severity of cirrhosis based on signs and liver function test results, has been shown to predict survival. Strategies have been esta...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2001-11-15 00:00:00
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journal_title：American family physician
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更新日期：2010-01-15 00:00:00
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journal_title：American family physician
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doi：
更新日期：1986-10-01 00:00:00
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doi：
更新日期：2009-04-15 00:00:00
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更新日期：2019-01-15 00:00:00
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更新日期：2013-10-15 00:00:00
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更新日期：2008-09-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2002-08-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：2004-05-01 00:00:00
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journal_title：American family physician
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更新日期：2015-10-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1992-02-01 00:00:00
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doi：
更新日期：2021-01-01 00:00:00
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journal_title：American family physician
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doi：
更新日期：1997-12-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1998-03-15 00:00:00
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journal_title：American family physician
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更新日期：2003-11-01 00:00:00
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doi：
更新日期：2018-04-15 00:00:00
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journal_title：American family physician
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更新日期：2007-12-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
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doi：
更新日期：1980-10-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
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journal_title：American family physician
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doi：
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journal_title：American family physician
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更新日期：2001-03-15 00:00:00
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doi：
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更新日期：2002-12-15 00:00:00
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journal_title：American family physician
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journal_title：American family physician
pub_type： 杂志文章,评审
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