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本文报告1976~1991年阴道镜检查1601例的临床分析,大部分病例经过细胞学(1467例)和病理学(1535例)检查,结果如下:1.正常阴道镜图象941例,占58.8%。2.异常阴道镜图象603例,占37.6%。3.不满意阴道镜图象57例,占3.6%。 本组中122例为不典型增生,占7.6%;244例为宫颈癌,占15.2%;其它恶性肿瘤为8例,占0.5%,其余1227例为良性病变,占76.6%。 本组细胞学检查假阴性率为5.9%(29/495例),阴道镜检查假阴性率为2.7%(25/941例),两者合用假阴性率下降至0.4(6/1467例),由此可见在官颈癌早期诊断方面阴道检查确有实效。
This article reports the clinical analysis of 1601 cases of colposcopy from 1976 to 1991. The majority of cases were examined by cytology (1467 cases) and pathology (1535 cases). The results were as follows: 1. There were 941 normal colposcopy images (58.8% . 2. Abnormal colposcopy image 603 cases, accounting for 37.6%. 3. dissatisfied 57 colposcopy images, accounting for 3.6%. The group of 122 cases of atypical hyperplasia, accounting for 7.6%; 244 cases of cervical cancer, accounting for 15.2%; other malignant tumors in 8 cases, accounting for 0.5%, and the remaining 1227 cases of benign lesions, accounting for 76.6%. The negative rate of cytology in this group was 5.9% (29/495 cases), the negative rate of colposcopy was 2.7% (25/941 cases), the false negative rate decreased to 0.4 (6/1467 cases) This shows that in the early diagnosis of cervical cancer vaginal examination indeed effective.