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目的:通过妇产科门诊异常宫颈涂片的管理与临床分析,来进一步加强妇产科对宫颈癌的预防工作。方法:选取笔者单位2012年1月-2014年12月间进行的宫颈液基细胞学涂片检查且涂片异常的922例患者为研究对象。按宫颈细胞学涂片检查时间顺序分为两组,研究组:461例,实施异常宫颈涂片管理流程;对照组:461例,不采取措施管理措施。对比分析两组患者阴道镜检查率。结果:研究组患者经异常宫颈涂片强化管理,其接受阴道镜检比率、检出率明显高于对照组(P<0.05),具统计学意义。结论:在妇产科门诊建立、健全异常宫颈细胞学涂片管理体系,可以有效提升患者接受阴道镜检比率,有助于宫颈防癌筛查工作的开展,对预防宫颈癌的发生具有积极意义。
Objective: To further strengthen the prevention of cervical cancer by obstetrics and gynecology through the management and clinical analysis of abnormal cervical smears in obstetrics and gynecology clinic. Methods: Nine hundred and seventy-two patients with cervical smear-positive cytology smear and smear abnormalities during January 2012 to December 2014 were selected as the study subjects. According to cervical cytology smear time sequence is divided into two groups, the study group: 461 cases, the implementation of abnormal cervical smear management process; control group: 461 cases, no measures to take management measures. Comparative analysis of two groups of colposcopy examination rate. Results: The study group underwent intensive cervical smear management, the rate of colposcopy accepted, the detection rate was significantly higher than the control group (P <0.05), with statistical significance. Conclusion: Establishing and perfecting abnormal cervical cytology smear management system in obstetrics and gynecology clinic can effectively improve the patients’ acceptance of colposcopy rate, which is helpful for the prevention of cervical cancer screening and has a positive effect on the prevention of cervical cancer .