中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
80-81
,共2页
宫颈病变%早期筛查%宫颈液基细胞学%阴道镜检查%宫颈细胞学
宮頸病變%早期篩查%宮頸液基細胞學%陰道鏡檢查%宮頸細胞學
궁경병변%조기사사%궁경액기세포학%음도경검사%궁경세포학
Cervical lesions%Early screening%Cervical liquid based cytology%Colposcopy examination%Cervical cytology
目的 研究和探析宫颈病变早期筛查中宫颈液基细胞学和阴道镜检查的应用价值. 方法 收集2013年1月-2014年12月到该院妇科门诊行宫颈检查的患者共1 037例,所有患者均接受宫颈液基细胞学检测,对检查结果呈阳性者进行阴道镜检查. 结果 37例(3.6%)患者宫颈液基细胞学检测呈阳性,经过阴道镜检查后,23例显示阳性,其中炎症12例(32.4%),宫颈上皮内瘤样病变Ⅰ期14例(37.8%), 宫颈上皮内瘤样病变Ⅱ~Ⅲ6例(16.2%). 阴道镜下的活检组织病理学检查结果与宫颈液基细胞学的检查结果的差异有统计学意义(P<0.05).结论 在宫颈病变早期筛查中,宫颈液基细胞学和阴道镜活组织病理检查联合使用,有助于尽早发现宫颈病变,值得推广应用.
目的 研究和探析宮頸病變早期篩查中宮頸液基細胞學和陰道鏡檢查的應用價值. 方法 收集2013年1月-2014年12月到該院婦科門診行宮頸檢查的患者共1 037例,所有患者均接受宮頸液基細胞學檢測,對檢查結果呈暘性者進行陰道鏡檢查. 結果 37例(3.6%)患者宮頸液基細胞學檢測呈暘性,經過陰道鏡檢查後,23例顯示暘性,其中炎癥12例(32.4%),宮頸上皮內瘤樣病變Ⅰ期14例(37.8%), 宮頸上皮內瘤樣病變Ⅱ~Ⅲ6例(16.2%). 陰道鏡下的活檢組織病理學檢查結果與宮頸液基細胞學的檢查結果的差異有統計學意義(P<0.05).結論 在宮頸病變早期篩查中,宮頸液基細胞學和陰道鏡活組織病理檢查聯閤使用,有助于儘早髮現宮頸病變,值得推廣應用.
목적 연구화탐석궁경병변조기사사중궁경액기세포학화음도경검사적응용개치. 방법 수집2013년1월-2014년12월도해원부과문진행궁경검사적환자공1 037례,소유환자균접수궁경액기세포학검측,대검사결과정양성자진행음도경검사. 결과 37례(3.6%)환자궁경액기세포학검측정양성,경과음도경검사후,23례현시양성,기중염증12례(32.4%),궁경상피내류양병변Ⅰ기14례(37.8%), 궁경상피내류양병변Ⅱ~Ⅲ6례(16.2%). 음도경하적활검조직병이학검사결과여궁경액기세포학적검사결과적차이유통계학의의(P<0.05).결론 재궁경병변조기사사중,궁경액기세포학화음도경활조직병리검사연합사용,유조우진조발현궁경병변,치득추엄응용.
Objective To study the application value of cervical fluid based cytology and vaginal examination in early screening for cervical lesions. Methods 1037 gynecological outpatients who underwent inspection of the cervix in the hospital between January 2013 and December 2014 were included. All of them received cervical fluid based cytology, and for those with positive results vaginoscopy was carried out. Results Out of 37 patients (3.6%) who showed positive result from cervical fluid based cytology, 23 showed positive result after vaginoscopy, including 12 (32.4%) cases of f inflammation and 14(37.8%) cases of stage I cervical in-traepithelial neoplasia, and 6 (16.2%) cases of stage II-III cervical intraepithelial neoplasia. Therefore, there was statistically sig-nificant difference in the outcomes between vaginoscopy and cervical fluid based cytology, P<0.05. Conclusion In the early screening of cervical lesions, the cervical fluid based cytology combined with pathological examination of biopsy under vaginoscope is beneficial to the early detection of cervical lesions, therefore it is worthy of popularization and application.
