论文部分内容阅读
目的建立并完善妇产科门诊异常宫颈细胞涂片管理制度。方法对2005年1月1日至2006年12月31日在北京大学第三医院妇产科门诊行宫颈液基细胞学涂片的患者中,结果为不能明确意义的不典型鳞状细胞及以上患者3233例,依据美国阴道镜与宫颈病理协会推荐的异常宫颈涂片处理指南进行处理,并行回顾性分析。结果3233例异常宫颈涂片患者中行阴道镜检查1275例,其中67.6%的高危型HPVDNA阳性的不能明确意义的不典型鳞状细胞、68.9%的不能除外高度鳞状上皮内病变的不典型鳞状细胞、72.9%的低度鳞状上皮内病变、80.2%的高度鳞状上皮内病变患者行阴道镜检查,通过加强对异常宫颈涂片的管理,2006年比2005年有更高比例的宫颈涂片患者在本院行阴道镜检查,共检出宫颈上皮内瘤变2级及以上病变(CIN2+)243例。结论加强异常宫颈细胞学涂片的管理在宫颈防癌筛查工作中有重要意义。
Objective To establish and improve the obstetrics and gynecology clinic abnormal cervical smear management system. Methods January 1, 2005 to December 31, 2006 in Peking University Third Hospital obstetrics and gynecology outpatient cervical liquid cytology smear patients, the result is not clear sense of atypical squamous cells and above 3233 patients, according to the United States colposcopy and cervical pathology Association recommended guidelines for treatment of abnormal cervical smears, parallel retrospective analysis. Results Among the 3233 patients with abnormal cervical smears, 1275 cases were examined by colposcopy, of which 67.6% were high-risk HPVDNA-positive patients with atypical squamous cell carcinoma of undetermined significance, 68.9% were not typical of squamous intraepithelial lesion Cells, 72.9% of low-grade squamous intraepithelial lesions, 80.2% of patients with highly squamous intraepithelial lesions colposcopy, by strengthening the management of abnormal cervical smears, 2006, a higher proportion of cervical smear than in 2005 Patients in our hospital colposcopy examination, were detected in cervical intraepithelial neoplasia grade 2 and above (CIN2 +) 243 cases. Conclusion To strengthen the management of abnormal cervical cytology smears in cervical cancer prevention is of great significance.