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江西赣州地区宫颈癌普查队送检的247例Ⅱ级以上宫颈涂片,是采用HE染色和巴氏五级分类法为诊断标准。同时作了宫颈活检对照。247例中,Ⅱ级涂片216例(87.4％),Ⅲ级25例(10.2％),Ⅳ级4例(1.6％),Ⅴ级2例(0.8％)。涂片级别伴随着年龄增高而上升。Ⅱ、Ⅲ级涂片中无症状者占多数,Ⅳ、V级者中白带腥接触性出血者明显高于Ⅱ级涂片。涂片与病理活检对照,共检出6例宫颈癌,其中2例细胞涂片为假阴性,即漏诊(其中1例为巴氏Ⅱ级。1例为巴氏Ⅲ级);Ⅳ级涂片4例,检出宫颈癌2例。Ⅴ级涂片2例,无假阳性。
Cervical cancer screening team in Ganzhou, Jiangxi Province, 247 cases of cervical smear grade Ⅱ, is the use of HE staining and Papanicolaou classification as the diagnostic criteria. At the same time made a cervical biopsy control. Among 247 cases, 216 cases (87.4%) were grade Ⅱ smears, 25 cases (10.2%) were grade Ⅲ, 4 cases (Ⅳ) were grade Ⅳ and 2 cases were grade V (0.8%). Smear levels rise with age. Ⅱ, Ⅲ grade smear asymptomatic majority, Ⅳ, V-class Leucorrhea contact bleeding was significantly higher than the grade Ⅱ smear. Smear and pathological biopsy control, a total of 6 cases of cervical cancer were detected, of which 2 cases of cell smears were false negative, that is, missed diagnosis (of which 1 cases were Papanicol, 1 cases of pasteurban Ⅲ); Ⅳ grade smear 4 cases, 2 cases of cervical cancer detected. V grade smear in 2 cases, no false positive.