论文部分内容阅读
目的:总结宫颈刮片、阴道镜在宫颈病变诊断中的临床经验,寻找一条低廉、准确无创伤性,适合在卫生条件差、卫生资源有限的农村及山区的普查方法。方法:对宫颈刮片及阴道镜两种任何一项检测异常者行病理活检,进行组织学诊断。结果:7 286例体检妇女中,宫颈刮片为巴氏Ⅰ级和Ⅱ级而阴道镜图像异常者经病理确诊为子宫颈鳞状上皮内瘤变(CIN)607例,其中CIN1 327例,CIN2 263例,CIN3 17例,宫颈癌4例,而宫颈刮片巴氏Ⅲ级以上26例,阴道镜图像异常仅为22例,两者联合同时应用提高宫颈癌前病变和宫颈癌变的筛查。结论:在卫生资源有限的山区和农村,宫颈癌的筛查及早期诊断,应以宫颈刮片检查同时阴道镜相互结合以提高检出率。
OBJECTIVE: To summarize the clinical experience of cervical smears and colposcopy in the diagnosis of cervical lesions and to find a low-cost, accurate and non-invasive census method suitable for rural and mountainous areas with poor sanitation and limited health resources. Methods: Cervical smears and colposcopy were detected in any one of the two biopsy biopsy for histological diagnosis. Results: Of 7 286 women who underwent cervical smear Papanicolaou class I and II and colposcopy abnormalities, 607 were diagnosed as cervical squamous intraepithelial neoplasia (CIN) by pathology, including 327 cases of CIN1, CIN2 263 cases, 17 cases of CIN3, 4 cases of cervical cancer, 26 cases of grade Ⅲ or more papillary smears, only 22 cases of colposcopy abnormalities, the combination of the two simultaneously improve cervical precancerous lesions and cervical cancer screening. Conclusion: In mountainous areas and rural areas with limited health resources, cervical cancer screening and early diagnosis should be combined with cervical smear and colposcopy to improve the detection rate.