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液基细胞学配合阴道镜检查对宫颈早期病变筛查中意义 被引量:8

Discussion on liquid based cytology combined with colposcope in the early screening of cervix uteri disease
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摘要 目的:评价电子阴道镜检查下宫颈活检病理对宫颈癌前病变的筛查效果。方法:对800例巴氏涂片为I^II级的患者进行薄层液基细胞学检测(TCT),对TBS分类检查为ASCUS及以上病变者在阴道镜检查下活检,以病理诊断为金标准。结果:44例ASCUS及以上病变者中慢性宫颈炎32例(72.7%),C INⅠ7例(15.9%),C INⅡ3例(6.8%),C INⅢ2例(4.6%)。结论:宫颈巴氏涂片为I^II级者的TCT检测为不能明确意义的不典型鳞状细胞ASCUS及以上病变患者,采用在阴道镜下活检明确诊断,可以提高宫颈上皮内瘤样病变(C IN)检出率。 Objective: To evaluate the effect of screening the cervical intraepithelial neoplasia (CIN) by the biopsy of cervix under colposcope. Methods: The thin cytology test (TCT) was done for 800 patients whose Papanicolaou's vaginal smear technique were Ⅰ -Ⅱ level. The biopsy of cervix under colposcope was done for the patients whose'TBS was ASCUS and over. Results: Among 44 patients whose TBS were ASCUS and over, 32 cases (72. 7% ) were chronic cervicitis, 7 cases ( 15. 9% ) were CIN Ⅰ , 3 cases (6. 8% ) were CIN Ⅱ , 2 cases were CIN Ⅲ. Conclusion: The detectable rate of CIN can be raised by the biopsy of cervix under colposcope.
出处 《中国妇幼保健》 CAS 北大核心 2006年第14期1995-1996,共2页 Maternal and Child Health Care of China
基金 上海市卢湾区卫生系统学科带头人研究课题资助 课题名称:<宫颈疾病早期筛查的研究> 项目规划编号:009
关键词 宫颈细胞学 不典型鳞状细胞 病理组织学 阴道镜检查 宫颈上皮内瘤样病变 Cervix uteri cytology Atypical squalors cell Path histology Colposcope CIN
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  • 1[2]Mitchell MF,Schottenfeld D,Tortolero-Luna G,et al. Colposcopy for the diagnosis of squamous intraepithelial lesions: a meta-analysis.Obstet Gynecol, 1998,91:626 被引量:1
  • 2[3]Raymond HK,Ervin A,Joseph I,et al. Human papillomavirus testing as triage for atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesions: sensitivity, specificity ,and cost-effectiveness. Am J Obstet Gynecol, 1997,177:930 被引量:1
  • 3[4]Reid R, Stanhope CR, Herschman BR, et al. Genital warts and cervical cancer Ⅳ-a colposcopic index for differentiating subclinical papillomaviral infection from cervical intraepithelial neoplasia. Am J Obstet Gynecol,1984,149 (8): 815 被引量:1
  • 4钱德英,曾仁海.宫颈上皮内瘤样病变的阴道镜与病理学观察[J].中国内镜杂志,1998,4(5):13-14. 被引量:77

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