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目的:为改善广大妇女的生活质量,早期发现、及时诊断和治疗宫颈癌及其癌前病变,提高宫颈疾病的诊治水平。方法:对2007年1月~2008年3月份期间在淮安市妇幼保健院体检或妇科门诊确诊的的40例宫颈病患者进行回顾性追访及分析。结果:细胞学与阴道镜下活检病理检查的符合率为27.2%,其中宫颈刮片与阴道镜下活检病理的符合率为25%,TCT与阴道镜下活检病理的符合率为31.9%,阴道镜下活检与锥切或全子宫切除病理的符合率为62.5%。结论:建立和进行有效的筛查体系,合理诊断、治疗宫颈癌及癌前期病变,需要病理科医师和临床医师的不断探讨和努力,从而提高宫颈病的诊治水平。
Objective: To improve the quality of life of the majority of women, early detection, timely diagnosis and treatment of cervical cancer and precancerous lesions, improve the diagnosis and treatment of cervical disease. Methods: Forty cases of cervical disease diagnosed in the examination or gynecological clinic of Huaian MCH from January 2007 to March 2008 were retrospectively investigated and analyzed. Results: The coincidence rate between cytology and colposcopy biopsy was 27.2%. The coincidence rate between cervical smear and colposcopy biopsy was 25%. The coincidence rate between TCT and colposcopy biopsy was 31.9% The coincidence rate of microscopic biopsy and conization or total hysterectomy was 62.5%. Conclusion: Establishing and carrying out an effective screening system to diagnose and treat cervical cancer and precancerous lesions requires constant discussion and effort by pathologists and clinicians to improve the diagnosis and treatment of cervical disease.