摘要
目的评价宫颈疾病筛查"三阶梯"技术在基层妇幼保健所中的应用价值。方法选择门诊2 347例宫颈脱落细胞学检查后行阴道镜检查的患者为研究对象,对其中阴道镜检查阳性患者867例进行组织病理检查。结果细胞学检查2 347例中,280例为ASC以上患者;867例宫颈活检中,CINⅠ以上139例,占16.03%(139/867),其中CINⅡ和CINⅢ共63例(45.32%,63/139),宫颈癌2例;LSIL符合率为37.25%(19/52),与HSIL的87.50%(7/8)比较,差异有统计学意义(P<0.05);阴道镜阳性符合率为16.03%(139/867),与细胞学阳性符合率52.02%(90/173)比较,差异有统计学意义(P<0.05)。结论细胞学-阴道镜检查-组织病理学检查(三阶梯)是筛查并及早发现宫颈癌前病变的有效方法,在基层妇幼保健所仍应大力推广。
OBJECTIVE To evaluate the value of the ＂three steps＂ technology in the cervical lesion screening in maternity and child care at the local level. METHODS Among 2 347 outpatient cases of colposcope examination after cervical cytology examination, 867 cases of colposcope positive were done histopathological examination. RESULTS There were 280 patients with ASC above among 2 347 cytologic examination cases; there were 139 patients with CIN I above, accounting for 16.03% （139/867） among 867 cervical biopsy cases including 63 cases（45.32%, 63/139） with CIN II and CIN III, 2 cervical cancer.cases; LSIL coincidence rate was 37.25%（19/52） and HSIL87.50%（7/8）, their difference was statistically significant（P〈0.05）. Colposcope positive coincidence rate was 16.03%（139/867）, compared with cytology positive coincidence rate（52.02%, 90/173）, there was significant difference（P〈 0.05）. CONCLUSION ＂Cytology and colposcopy examination and histopathologic examination＂ （three steps） was effective method of screening and early detection of cervical cancer lesion, which should be still vigorously promoted in Maternity and Child Health Hospital at the local level.
出处
《中国初级卫生保健》
2016年第10期28-29,25,共3页
Chinese Primary Health Care
关键词
宫颈病变筛查
三阶梯
液基细胞学
阴道镜
组织病理检查
the cervical lesion screening
three steps
thinprep cytology test
colposcope
histopathologic examination
