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三阶梯诊断程序筛查宫颈病变 被引量:9

Three-step Diagnosis Procedures in Diagnosis of Cervical Pathological Changes
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摘要 目的探讨提高宫颈上皮内病变(CIN)的检出率,使患者得到早期诊断和治疗的方法。方法采用TCT筛查阳性143例,配合阴道镜检查及镜下定位活检。结果143例TCT筛查阳性中,LSIL、HSIL、SCC与阴道镜下病理活检的符合率分别是71.05%、84.21%、88.89%。结论TCT筛查阳性者,必须遵循细胞学-阴道镜-组织学三阶梯诊断程序,提高宫颈病变的诊断准确率,为患者得到及时正确治疗提供科学的依据。 Objective To probe into the detectable rate,early diagnosis and treatment of the cervical intraepithelial neoplasia (CIN). Methods 143 cases with positive result of cervical pathological changes checked by thin-prep cytology test(TCT) underwent locating biopsy together with vaginoscopy. Results In all 143 positive cases checked by TCT, the coincidence rate of LSIL, HSIL, SCC and pathological biopsy were 71.05 %, 84.21% and 88.89% respectively. Conclusion For patients with positive result checked by TCT, three-step diagnosis procedures of cytology-vaginoscopy-histology will be followed to promote accurate diagnosis of cervical pathological changes, and provide scientific basis for timely and accurate treatment.
作者 杨丹球
出处 《中华全科医学》 2009年第11期1182-1183,共2页 Chinese Journal of General Practice
关键词 液基宫颈细胞学 阴道镜 宫颈活检 宫颈病变 Liquid-based cervical cytology Colposcope Cervical biopsy Cervical pathological changes
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