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我院妇产科1975～1979年间常规宫颈刮片发现有异常涂片者210例。对镜下活检为宫颈上皮重度非典型增生(12例)、原位癌(70例)及早期浸润癌(11例)共93例的诊断结果作进一步探讨。镜下活检结果与颈管刮术、全子宫切除的宫颈及宫颈锥切标本的病检进行了对照。镜下活检的诊断准确率为90.3％,镜下活检加颈管刮术的诊断准确率为96.8%。研究发现宫颈病变性质与不典型转变区的范围有一定的关系。在重度非典型增生及原位癌,能见到全部不典型转变区的病例,除1例外,病变范围均在宫颈表面的1/4以内。讨论了在有阴道镜检查的条件下诊断性宫颈锥切的指征。
Obstetrics and Gynecology in our hospital from 1975 to 1979, conventional smear cervical smears were found in 210 cases. The results of microscopic biopsy for the diagnosis of severe atypical hyperplasia of cervix (12 cases), carcinoma in situ (70 cases) and early invasive carcinoma (11 cases) were further discussed. Microscopic biopsy results and neck curettage, hysterectomy cervical and cervical conization specimens of disease control were compared. The diagnostic accuracy of microscopic biopsy was 90.3%. The diagnostic accuracy of microscopic biopsy and neck curettage was 96.8%. The study found that the nature of cervical lesions and atypical transitional areas have a certain relationship. Severe atypical hyperplasia and carcinoma in situ, can see all cases of atypical transitional region, with 1 exception, the lesion in the cervix in less than 1/4. Discusses the indications for diagnostic cervical conization under colposcopy conditions.