CAJ | 학술논문

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.
목적 탐토음도경재운남성소수민족지구궁경암사사중적응용.방법 대641례환자진행문권조사,병회고성분석기음도경검사급경하활검정황,병대음도경검사결과여병리결과진행비교.결과 78.64 ％(383/487)적소수민족환자수선음도경검사,음도경검사결과:저도궁경병변377례,고도궁경병변245례,궁경습우15례,궁경암4례.병리검사결과:궁경상피내류변(CIN)Ⅰ 278례,CINⅡ174례,CINⅢ55례,궁경습우15례,궁경암4례.음도경검사결과여병리검사결과저도병변진단부합솔위68.17％(257/377),고도병변진단부합솔위89.39％ (219/245),궁경암화궁경습우균완전상부.결론 음도경검사재운남성소수민족지구경용역접수,가초보감별진단저도혹고도궁경병변、궁경습우화궁경암,대궁경질병적진단구유중요적림상응용개치.
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.