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目的研究并分析子宫颈病变筛查方式与结果。方法选取2014年1月~8月在我院进行宫颈涂片检查的715例女性纳入本研究,118例涂片检查结果为阴性,但是存在接触性出血、白带增多或者宫颈细胞学涂片检查结果超过巴氏Ⅱ级的受检者采用阴道镜辅助检查法,评估结果。结果 715例涂片中共计118例异常,巴氏Ⅱ级、巴氏Ⅲ级、巴氏Ⅳ级、巴氏Ⅴ级例数分别为72、29、6、3,其中巴氏Ⅱ级与巴氏Ⅲ级多见于25~35岁群体中,巴氏Ⅳ即与巴氏Ⅴ级多见于35~55岁妇女群体中,活检结果显示,7例为宫颈癌,CIN发生率较高,呈现出低龄化趋势。结论对于细胞学检查结果为阳性或者可疑病变者,采用阴道镜辅助检查法可以有效提升诊断有效性,值得在临床中进行推广和使用。
Objective To study and analyze the screening methods and results of cervical lesions. Methods A total of 715 women who underwent cervical smears in our hospital from January to August 2014 were enrolled in this study. The results of 118 smears were negative, but there were contact bleeding, increased vaginal discharge or smear results of cervical cytology Subjects who exceeded Pap II had colposcopy assisted examinations to assess the results. Results A total of 118 smear anomalies were observed in 118 cases. The number of grade Ⅱ, grade Ⅲ, grade Ⅳ, grade of pasteurization was 72, 29, 6, and 3 respectively. Ⅲ grade more common in 25 to 35-year-old population, Papanicolaou or Pasteur class Ⅴ more common in 35 to 55-year-old women, biopsy results show that 7 cases of cervical cancer, CIN higher incidence, showing a younger age trend. Conclusions For patients with positive or suspicious cytology findings, the colposcopy-assisted test can effectively improve the diagnostic validity and is worth popularizing and being used clinically.