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目的 :探讨子宫颈癌的癌前病变的诊断要点及早期防治。 方法 :回顾性的分析 12 0例子宫颈上皮内瘤样病变 (cervicalintraepithelialneoplasia ,CIN)患者的临床特点 ,阴道细胞学检查及治疗情况。 12 0例CIN患者中CINⅠ级 15例 ,CINⅡ级 2 4例 ,CINⅢ级 81例 (其中原位癌 4 3例 )。 结果 :(1) 84例阴道细胞学检查的妇女中 ,良性病变者为 2 1例 (2 5 .0 % ) ,含有无明确诊断意义的不典型鳞状细胞 (atypicalsquamouscellofundeterminedsignifi cance ,ASCUS)者 2 3例 (2 7.3% )。 (2 )CIN患者的治疗 :CINⅢ级患者行全子宫切除术为主的治疗 ,CINⅡ级患者一半因随访不方便或年龄较大等因素也行手术治疗 ,CINⅠ级患者基本上保守治疗。 结论 :CIN患者中 5 2 .4 %细胞学结果为良性或ASCUS ,因此临床上对这些患者 ,应结合其年龄 ,临床表现 ,阴道镜检查 ,必要时取活检以明确诊断。
Objective: To explore the diagnosis of precancerous lesions of cervical cancer and early prevention and treatment. Methods: The clinical features, vaginal cytology and treatment of 120 cases of cervical intraepithelial neoplasia (CIN) were retrospectively analyzed. Of the 120 CIN patients, 15 were CIN Ⅰ, 24 were CIN Ⅱ, and 81 were CIN Ⅲ (43 in situ). Results: (1) Of the 84 vaginal cytology women, 21 (20.5%) had benign lesions and those with atypical squamous cell of undetermined lesions (ASCUS) Example (2 7.3%). (2) The treatment of CIN patients: CIN Ⅲ-class patients underwent hysterectomy-based treatment, CIN Ⅱ half of patients due to follow-up inconvenient or older and other factors are also surgical treatment, CIN Ⅰ class patients are basically conservative treatment. Conclusions: 52.4% cytology results of CIN patients are benign or ASCUS. So these patients should be diagnosed clinically according to their age, clinical manifestations, colposcopy and, if necessary, biopsy.