论文部分内容阅读
目的探讨数码相机能否用于下乡妇科普查。方法将江西省萍乡市经济开发区5个社区和15个管理处35～55岁之间注册居住的已婚妇女1000人,分成两组,每组各500人,观察组妇女检查时,在宫颈表面涂3%醋酸,60 s后用数码相机进行拍照并放大观察,再涂复方碘溶液再拍照,并放大观察,对醋酸反应阳性或碘试验不着色、放大图像可疑者可立即进行宫颈活检,送病理检查。对照组妇女则先在宫颈涂3%醋酸60 s后观察,再涂复方碘溶液进行观察,对涂醋酸后出现长久不退的醋酸白色上皮,或涂碘溶液不着色处宫颈组织取活检。结果应用数码相机进行拍照放大观察,能发现更多微小病灶,故能提高单纯肉眼观察的敏感度和特异性,降低假阴性率和假阳性率,从而提高筛查水平。结论数码相机能用于下乡妇科普查,提高宫颈癌筛查水平。
Objective To explore whether the digital camera can be used for gynecological census in the countryside. Methods 1000 married women living in 5 communities in Pingxiang Economic Development Zone of Jiangxi Province and 15 administrative departments of 35 to 55 years old were divided into two groups with 500 in each group. 3% acetic acid on the surface, after 60s with a digital camera to take photos and magnified observation, then coated with compound iodine solution and then take pictures and magnified observation, acetic acid reaction or iodine test is not coloring, magnifying images Suspicious cervical biopsy immediately, Send pathological examination. The control group of women first in the cervical smear 3% acetic acid after 60 s observation, and then coated with compound iodine solution was observed after acetic acid long-term reoccurred acetic acid white epithelium, or iodine solution is not colored at cervical biopsy. Results Using a digital camera to magnify the observation and find more tiny lesions, it can improve the sensitivity and specificity of simple naked eye observation, reduce the false negative rate and false positive rate, so as to improve the screening level. Conclusion The digital camera can be used for gynecological screening in rural areas and improve the screening of cervical cancer.