当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
4期
163-164
,共2页
宫颈不典型鳞状上皮病变%阴道镜%鳞状上皮内瘤变
宮頸不典型鱗狀上皮病變%陰道鏡%鱗狀上皮內瘤變
궁경불전형린상상피병변%음도경%린상상피내류변
ASCUS%Colposcopy%Squamous intraepithelial neoplasia
目的:总结门头沟地区妇女宫颈癌筛查宫颈不典型鳞状上皮病变的发生率与年龄的关系,并分析阴道镜检查下的病理结果。方法回顾性分析35~59岁行宫颈癌筛查巴氏涂片结果ASCUS的妇女,在阴道镜定位下多点活检的组织病理学检查。结果302例宫颈细胞学诊断为ASCUS患者,45~49岁年龄组宫颈上皮内瘤变CINI~I I的发生率(25.53%)高于其他年龄组,差异有统计学意义(P<0.05)。40~44岁年龄组CINI~I I的发生率(16.67%)高于35~39组、50~54组、55~59组CINI~I I的发生率,差异有统计学意义(P<0.05)。302例ASCUS患者中,阴道镜诊断的≥LSIL 119例(39.40%),阴道镜指导下组织活检,病理学诊断109例(36.09%),病理学和阴道镜诊断阳性符合率为91.59%。结论40~49岁ASCUS患者直接做阴道镜引导下多点取活检,其他年龄组ASCUS患者阴道镜检查若未发现病变,6个月后复查细胞学检查;阴道镜检查以及阴道镜下取活检对ASCUS的处理具有较高的临床价值。
目的:總結門頭溝地區婦女宮頸癌篩查宮頸不典型鱗狀上皮病變的髮生率與年齡的關繫,併分析陰道鏡檢查下的病理結果。方法迴顧性分析35~59歲行宮頸癌篩查巴氏塗片結果ASCUS的婦女,在陰道鏡定位下多點活檢的組織病理學檢查。結果302例宮頸細胞學診斷為ASCUS患者,45~49歲年齡組宮頸上皮內瘤變CINI~I I的髮生率(25.53%)高于其他年齡組,差異有統計學意義(P<0.05)。40~44歲年齡組CINI~I I的髮生率(16.67%)高于35~39組、50~54組、55~59組CINI~I I的髮生率,差異有統計學意義(P<0.05)。302例ASCUS患者中,陰道鏡診斷的≥LSIL 119例(39.40%),陰道鏡指導下組織活檢,病理學診斷109例(36.09%),病理學和陰道鏡診斷暘性符閤率為91.59%。結論40~49歲ASCUS患者直接做陰道鏡引導下多點取活檢,其他年齡組ASCUS患者陰道鏡檢查若未髮現病變,6箇月後複查細胞學檢查;陰道鏡檢查以及陰道鏡下取活檢對ASCUS的處理具有較高的臨床價值。
목적:총결문두구지구부녀궁경암사사궁경불전형린상상피병변적발생솔여년령적관계,병분석음도경검사하적병리결과。방법회고성분석35~59세행궁경암사사파씨도편결과ASCUS적부녀,재음도경정위하다점활검적조직병이학검사。결과302례궁경세포학진단위ASCUS환자,45~49세년령조궁경상피내류변CINI~I I적발생솔(25.53%)고우기타년령조,차이유통계학의의(P<0.05)。40~44세년령조CINI~I I적발생솔(16.67%)고우35~39조、50~54조、55~59조CINI~I I적발생솔,차이유통계학의의(P<0.05)。302례ASCUS환자중,음도경진단적≥LSIL 119례(39.40%),음도경지도하조직활검,병이학진단109례(36.09%),병이학화음도경진단양성부합솔위91.59%。결론40~49세ASCUS환자직접주음도경인도하다점취활검,기타년령조ASCUS환자음도경검사약미발현병변,6개월후복사세포학검사;음도경검사이급음도경하취활검대ASCUS적처리구유교고적림상개치。
Objective To discuss the relationship between Atypical Squamous Cells of Undetermined Significance (ASCUS) incidence and age of cervical cancer screening,analyze the results of pathological in colposcopy in Mentougou district. Methods Retrospective analysis 35-59 years old women cervical cancer screening Pap smear results ASCUS of histological pathology of multiple biopsy under colposcopy examination in positioning from January 2011 to December 2012 in Mentougou District. Results 302 cases of cervical cytological diagnosis of patients, the incidence of 45-49 years old age group cervical intraepithelial neoplasia (CIN) II-III(25.53%) was higher than other age groups, the difference was statistically significant (P<0.05) .The incidence of CIN II-III in 40-44 years old age group CIN II-III (16.67%) was higher than that in 35-39 years old age group, 50-54 group,55-59 group, the difference was statistically significant (P<0.05) .302 patients with ASCUS,colposcopy in the diagnosis of≥LSIL in 119 cases (39.40%), colposcopy guided biopsy, pathological diagnosis of 109 cases (36.09%), pathology and colposcopy diagnosis coincidence rate was 91.59%.Conclusion The ASCUS patients in 40~49 years old do colposcopy guided multipoint biopsy, other age group ASCUS patients if not found lesions in colposcopy, need the cytology after 6 months;there have great clinical value of colposcopy and biopsy under colposcope on ASCUS.