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目的:分析“三阶梯”步骤(宫颈细胞学检查-阴道镜-组织病理学)诊断宫颈病变的临床效果。方法:448例经宫颈液基薄层细胞学检查发现异常或宫颈多种病变并存的患者行阴道镜检查及宫颈可疑病变部位行组织病理学检查,分析其检查结果。结果:宫颈液基薄层细胞学检查诊断宫颈癌前期病变阳性率为5.80%,阴道镜检查诊断宫颈癌前期病变阳性率为58.95%,组织病理学诊断宫颈癌前期病变阳性率为21.48%,诊断宫颈癌的阳性率为2.22%。结论:宫颈细胞学检查是宫颈病变的初步筛查,阴道镜及组织学检查与细胞学相比有更高的诊断符合率,阴道镜和组织学是互为补充的两种筛查诊断技术,宫颈病变必须经“三阶梯”步骤才能最后确诊,三者缺一不可。
OBJECTIVE: To analyze the clinical effect of diagnosing cervical lesions by “three steps” (cervical cytology - colposcopy - histopathology). Methods: 448 cases of cervical cytology-based thin-layer cytology found that patients with abnormal or cervical lesions coexisting colposcopy and cervical lesions suspected histopathological examination, analysis of the test results. Results: The positive rate of cervical precancerous lesion was 5.80%. The positive rate of cervical precancerous lesions by colposcopy was 58.95%. The positive rate of histopathological diagnosis of cervical precancerous lesions was 21.48%. The diagnosis of cervical precancerous lesions was diagnosed The positive rate of cervical cancer was 2.22%. Conclusion: Cervical cytology is a preliminary screening of cervical lesions. Colposcopy and histological examination have a higher diagnostic coincidence rate than cytology. Colposcopy and histology are two screening diagnostic techniques that complement each other. Cervical lesions must be “three steps ” steps to the final diagnosis, the three indispensable.