CAJ | 학술논문

目的：探讨宫颈癌阴道镜下定位检查与病理诊断应用效果。方法指定1~2名具有专业知识及丰富经验的临床医师完成108例疑似宫颈癌患者阴道镜下定位检查及病理检查工作，记录患者2种检查结果，给予统计学分析后得出结论。结果108例患者经阴道镜下定位检查宫颈癌检出率仅为76.85%，病理诊断检出率则高达100.00%，对比结果具有统计学意义（P＜0.05）；宫颈癌发病区域经阴道镜检查可知图像大多表现为白色上皮、镶嵌、点状血管，随着患者分化程度增加，其可伴有异型血管及脑回样改变。结论临床医师应根据疑似宫颈癌患者实际临床表现，结合阴道镜定位检查及病理检查等综合性检查措施，准确判断患者病情并给予及时治疗，保障患者疗效及预后。
목적：탐토궁경암음도경하정위검사여병리진단응용효과。방법지정1~2명구유전업지식급봉부경험적림상의사완성108례의사궁경암환자음도경하정위검사급병리검사공작，기록환자2충검사결과，급여통계학분석후득출결론。결과108례환자경음도경하정위검사궁경암검출솔부위76.85%，병리진단검출솔칙고체100.00%，대비결과구유통계학의의（P＜0.05）；궁경암발병구역경음도경검사가지도상대다표현위백색상피、양감、점상혈관，수착환자분화정도증가，기가반유이형혈관급뇌회양개변。결론림상의사응근거의사궁경암환자실제림상표현，결합음도경정위검사급병리검사등종합성검사조시，준학판단환자병정병급여급시치료，보장환자료효급예후。
Objective To investigate the cervical cancer positioning colposcopy examination and pathological diagnosis application. Method To specify one or two persons with professional knowledge and rich experience clinician completed in 108 cases suspected of colposcopy cervical cancer patients under examination and pathological examination were recorded, two kinds of examination results, give statistical analysis concluded. Results 108 patients after positioning colposcopy examination of cervical cancer detection rate was 76.85%, pathological diagnosis rate is as high as 100%, compared the results with statistical signiifcance(P<0.05);after colposcopy cervical cancer incidence area of the image mostly white epithelium, mosaic, punctate vessels, with the degree of differentiation patients increase, it may be associated with abnormal blood vessels and gyrus like change. Conclusions Clinicians should be based on actual clinical manifestations in patients with suspected cervical cancer, combined with colposcopy examination measures of location and pathological examination to the comprehensive examination, the accurate judgment of patients and provide treatment timely, ensure curative effect and prognosis of patients.