中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
26期
152-154
,共3页
阴道镜检查%醋酸白试验%宫颈癌
陰道鏡檢查%醋痠白試驗%宮頸癌
음도경검사%작산백시험%궁경암
Vaginoscopy%Acetic acid white test%Cervical cancer
目的：探讨阴道镜检查结合醋酸白试验在农村妇女宫颈癌普查中的应用价值。方法：以年龄在30~64岁的已婚农村妇女作为筛查对象。对筛查对象实施免费宫颈癌和生殖系统疾病检查。检查方法包括常规妇科检查、白带涂片检查、绝经妇女宫颈涂片检查、阴道镜检查、醋酸白试验、组织病理学检查。结果：共筛查农村妇女15201名，对全部筛查对象进行了妇科检查、阴道镜检查、醋酸白试验。确诊宫颈上皮内瘤样病变109例，其中CIN1级85例，CIN 2~3级24例，CIN患病率71.7/万；宫颈癌3例，其中宫颈浸润腺癌2例，宫颈原位癌1例，宫颈癌患病率1.97/万。宫颈癌患者年龄37~47岁。农村妇女生殖系统患病率较高的疾病，分别是细菌性阴道炎253.2‰，外阴、阴道假丝酵母菌病119.1‰，宫颈炎症118.3‰，盆腔炎51.9‰，子宫肌瘤32.6‰，外阴营养不良19.7‰，卵巢囊肿11.4‰。结论：阴道镜检查联合醋酸白试验，在宫颈癌普查中提高了宫颈上皮内瘤样病变诊断的准确性。该方法费用低，容易操作，适合于边远贫困地区大范围的宫颈癌普查。
目的：探討陰道鏡檢查結閤醋痠白試驗在農村婦女宮頸癌普查中的應用價值。方法：以年齡在30~64歲的已婚農村婦女作為篩查對象。對篩查對象實施免費宮頸癌和生殖繫統疾病檢查。檢查方法包括常規婦科檢查、白帶塗片檢查、絕經婦女宮頸塗片檢查、陰道鏡檢查、醋痠白試驗、組織病理學檢查。結果：共篩查農村婦女15201名，對全部篩查對象進行瞭婦科檢查、陰道鏡檢查、醋痠白試驗。確診宮頸上皮內瘤樣病變109例，其中CIN1級85例，CIN 2~3級24例，CIN患病率71.7/萬；宮頸癌3例，其中宮頸浸潤腺癌2例，宮頸原位癌1例，宮頸癌患病率1.97/萬。宮頸癌患者年齡37~47歲。農村婦女生殖繫統患病率較高的疾病，分彆是細菌性陰道炎253.2‰，外陰、陰道假絲酵母菌病119.1‰，宮頸炎癥118.3‰，盆腔炎51.9‰，子宮肌瘤32.6‰，外陰營養不良19.7‰，卵巢囊腫11.4‰。結論：陰道鏡檢查聯閤醋痠白試驗，在宮頸癌普查中提高瞭宮頸上皮內瘤樣病變診斷的準確性。該方法費用低，容易操作，適閤于邊遠貧睏地區大範圍的宮頸癌普查。
목적：탐토음도경검사결합작산백시험재농촌부녀궁경암보사중적응용개치。방법：이년령재30~64세적이혼농촌부녀작위사사대상。대사사대상실시면비궁경암화생식계통질병검사。검사방법포괄상규부과검사、백대도편검사、절경부녀궁경도편검사、음도경검사、작산백시험、조직병이학검사。결과：공사사농촌부녀15201명，대전부사사대상진행료부과검사、음도경검사、작산백시험。학진궁경상피내류양병변109례，기중CIN1급85례，CIN 2~3급24례，CIN환병솔71.7/만；궁경암3례，기중궁경침윤선암2례，궁경원위암1례，궁경암환병솔1.97/만。궁경암환자년령37~47세。농촌부녀생식계통환병솔교고적질병，분별시세균성음도염253.2‰，외음、음도가사효모균병119.1‰，궁경염증118.3‰，분강염51.9‰，자궁기류32.6‰，외음영양불량19.7‰，란소낭종11.4‰。결론：음도경검사연합작산백시험，재궁경암보사중제고료궁경상피내류양병변진단적준학성。해방법비용저，용역조작，괄합우변원빈곤지구대범위적궁경암보사。
Objective:To explore the application value by colposcope examination combined with acetic acid white test in the rural women cervical cancer census.Method:Screened for the rural married women aged 30 to 64 years and implemented free health check of cervical cancer and reproductive system.The inspection methods included routine gynecological examination,leucorrhea smear examination,postmenopausal cervical smear,colposcopy examination,acetic acid white test and histopathological examination.Result:Screened for rural women 15 201 cases,all of the people had to inspect the gynecological examination,colposcopy examination and acetic acid white test.There had been 109 confirmed cases of cervical intraepithelial neoplasia including CIN1 85 cases,CIN2-3 24 cases,the prevalence rate of CIN was 71.7/ten thousand;3 confirmed cases of cervical cancer included 2 cases of the cervical invasion adenocarcinoma,1 case of carcinoma in situ.The prevalence rate of cervical cancer was 1.97/ten thousand and the cervical cancer patients aged range of 37 to 47 years.The disease had been higher prevalence rate in the rural women reproductive system.These diseases are bacterial vaginosis 253.2‰,vulvovaginal candidiasis 119.1‰,cervicitis 118.3‰,pelvic inflammatory disease 51.9‰,uterine myoma 32.6‰,vulvar dystrophy 19.7‰,ovarian tumor 11.4‰.Conclusion:The colposcope examination combined with acetic acid white test improve the accuracy to the diagnosis of cervical intraepithelial neoplasia in the cervical cancer census.This method is low cost,easy to operate,suitable for outlying and poverty-stricken areas in a wide range of cervical cancer census.
