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目的比较“即诊即治”法与“三阶梯”模式诊治宫颈细胞学结果为高度鳞状上皮内病变(HSIL)患者的诊治价值。方法对福建省宫颈疾病诊治保健中心对宫颈细胞学结果为HSIL的患者149例行“即诊即治”法;180例按“三阶梯”模式诊断,比较两组诊治效果。结果 “即诊即治”组织病理学诊断符合率86.6%,“三阶梯”组为83.3%,两组诊断符合率均较高,差异无统计学意义。结论 “即诊即治”法和“三阶梯”诊治模式应用于HSIL,有相似的诊治效果,前者更具有便捷、实用、节省就诊次数及费用等优点。
Objective To compare the diagnosis and treatment of cervical cytology with high-grade squamous intraepithelial lesion (HSIL) in diagnosis and treatment of “diagnosis and treatment” and “three steps” mode. Methods The diagnosis and treatment of cervical disease in Fujian Province Center for cervical cytological results of HSIL patients with 149 cases of “diagnosis and treatment” method; 180 cases by “three ladder” mode diagnosis, the two groups diagnosis and treatment effect. Results The diagnosis rate of diagnosis and treatment was 86.6% and 83.3% respectively. The coincidence rate of the two groups was higher, but the difference was not statistically significant. Conclusion The diagnosis and treatment modes of “immediate diagnosis and treatment” and “three steps” are applied to HSIL with similar diagnosis and treatment effects. The former is more convenient, practical, and saves the number of visits and costs.