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阴道镜检查在宫颈病变筛查中的应用价值 被引量:9

Application value of colposcopy in screening of cervical lesions
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摘要 目的探讨阴道镜检查在宫颈癌筛查中的临床应用及价值。方法选择2006年6月至2008年10月原西安市铁路医院妇科门诊893例阴道镜检查发现异常图像行结合病理学检查的196例患者进行分析。结果病理确诊宫颈上皮内瘤变99例,宫颈癌10例,其中原位癌5例,早期浸润癌5例,余均为慢性宫颈炎症。阴道镜检查与病理检查的符合率为:宫颈上皮内瘤变符合率为90.1%、宫颈原位癌符合率为83.3%、宫颈浸润癌符合率为100.0%。结论阴道镜是筛查早期宫颈癌及CIN的有效方法。 Objective To discuss the clinical application and values of colposcopy used to cervical cancer screening.Methods The 893 women were in outpatient service from June 2006 to October 2008.Among them,pathology inspection was used with colposcopy subsequently to 196 women which were discovered anomaly.Results 99 patients were diagnosed cervical intraepithelial neoplasia(CIN) by pathology inspection;10 patients were diagnosed cervical cancer,among them 5 cases were carcinoma in situ,5 cases were early infiltrating carcinoma;the rest of the 196 patients were diagnosed chronic cervicitis.The coincidence rates between colposcopy and pathology inspection were that: the coincidence rate in CIN was 90.1%,the coincidence rates in carcinoma in situ was 83.3% and in infiltrating carcinoma was 100.0%.Conclusions Colposcopy was a effective method in screening early cervical cancer and CIN.
作者 梁凤莲
出处 《中国肿瘤临床与康复》 2013年第8期811-813,共3页 Chinese Journal of Clinical Oncology and Rehabilitation
关键词 阴道镜 宫颈上皮内瘤变 宫颈癌 临床应用 Colposcopy Cervical intraepithelial neoplasia Cervical cancer Clinical appli cation
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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
  • 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
  • 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
  • 4[1]Thomas C. Wright, Jr, J. Thomas Cox, L. Stewart Massad, et al. 2001 Consensus Guidelines for the Management of Women With Cervical Cytological Abnormalities. JAMA,2002,287:2120-2129.
  • 5[2]Thomas C. Wright, Jr, J. Thomas Cox, L. Stewart Massad, et al. 2001 Consensus Guidelines for the Management of Women With cervical intraepithelial neoplasia. AJOG,2003,189(1).
  • 6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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