摘要
目的 探讨阴道镜在云南省少数民族地区宫颈癌筛查中的应用.方法 对641例患者进行问卷调查,并回顾性分析其阴道镜检查及镜下活检情况,并对阴道镜检查结果与病理结果进行比较.结果 78.64 ％（383/487）的少数民族患者首选阴道镜检查,阴道镜检查结果：低度宫颈病变377例,高度宫颈病变245例,宫颈湿疣15例,宫颈癌4例.病理检查结果：宫颈上皮内瘤变（CIN）Ⅰ 278例,CINⅡ174例,CINⅢ55例,宫颈湿疣15例,宫颈癌4例.阴道镜检查结果与病理检查结果低度病变诊断符合率为68.17％（257/377）,高度病变诊断符合率为89.39％ （219/245）,宫颈癌和宫颈湿疣均完全相符.结论 阴道镜检查在云南省少数民族地区更容易接受,可初步鉴别诊断低度或高度宫颈病变、宫颈湿疣和宫颈癌,对宫颈疾病的诊断具有重要的临床应用价值.
Objective To investigate the application of colposcope in cervical cancer screening in Yunnan ethnic minority areas.Methods The questionnaire survey was conducted on 641 women,and the data of the colposcopy and biopsy were reviewed retrospectively.The colposcopy and pathological diagnosis results were compared.Results The minority women thought colposcopy more acceptable was 78.64％ （383/487）.The colposcopy found suspected low-grade cervical lesions were 377 cases,high-grade cervical lesions were 245 cases,cervical condyloma were 15 cases,cervical cancer were 4 cases.The pathological results：278 cases of cervical intraepithelial neoplasia （CIN） Ⅰ,174 cases of CIN Ⅱ,55 cases of CIN Ⅲ,15 cases of cervical condyloma,4 cases of cervical cancer.The consistent rate of colposcopy and pathological examination was 68.17％ （257/377） in low-grade lesions,89.39％ （219/245） in high-grade lesions,cervical cancer and cervical condyloma was entirely consistent.Conclusions The colposcopy is more easily accepted in Yunnan ethnic minority areas,which could be a preliminary diagnosis of cervical lesions,cervical condyloma and cervical cancer.It has an important clinical application value in diagnosis of cervical diseases.
出处
《中国医师进修杂志》
2014年第36期1-3,共3页
Chinese Journal of Postgraduates of Medicine
关键词
少数民族
阴道镜检查
诊断
子宫颈
Minority groups
Colposcopy
Diagnosis
Cervix uteri
