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目的探讨醋酸-碘染色肉眼观察法筛查宫颈癌及癌前病变的效果。方法回顾性分析2011年天津市滨海新区大港已婚妇女宫颈癌筛查情况,随机选取30~59岁的健康已婚妇女1 986名,使用醋酸-碘染色肉眼观察(VIA-VILI)法联合电子阴道镜筛查宫颈癌及癌前病变。结果 VIA-VILI法筛查病理结果≥CINⅠ160例,VIA-VILI特异度为91.7%,其中30人接受治疗。结论 VIA-VILI操作方法简便快速、价格低廉,在经济欠发达地区或低收入人群中应大力推广VIA-VILI做宫颈癌初筛的方案。
Objective To investigate the effect of acetic acid-iodine staining on cervical cancer and precancerous lesions. Methods A retrospective analysis was conducted on cervical cancer screening among married women in Dagang, Tianjin Binhai New Area in 2011. A total of 1 986 healthy married women between the ages of 30 and 59 were selected randomly and combined with VIA-VILI Colposcopy screening of cervical cancer and precancerous lesions. Results The VIA-VILI method screened pathological results ≥160 cases of CIN Ⅰ, VIA-VILI specificity of 91.7%, of which 30 were treated. Conclusion The VIA-VILI method is simple, rapid and inexpensive. VIA-VILI should be used to screen cervical cancer in economically underdeveloped areas or low-income population.