[通过巴氏涂片进行宫颈癌筛查：国家生殖健康研究中心的经验。俄罗斯妇产科医师协会]
[Cervical cancer screening by Pap smear: experience of the National Research Center in Reproductive Health. ONFP].
作者信息
Ben Aissa Rim, Bennour Ramzy, Ben Hamida Abdelmajid, Kammoun Neila, Mansour Hayet, Mhamdi Abdelmalek, Landoulsi Sihem, Cherif Neila, Gueddana Nabiha
机构信息
Office National de la Famille et de la Population Centre d'Etude et de Recherche en Santé Reproductive de l'Ariana 2, Rue Tahar Ben Ezzeddine 2080 Ariana, Tunisie.
出版信息
Tunis Med. 2002 Apr;80(4):203-6.
We have analysed the result of 17,173 pap smears screened in the national research center in reproductive health of Ariana from 1 may 1993 to 30 april 1997. Among these pap smears, 613 colposcopy and 380 biopsy have been performed. The results show that: 1.9% of pap smears present cytological anomalies with 0.79% of low Squamous Intraepithelial lesions and 0.66% high Squamous Intraepithelial lesions. The incidence of CIN III is 1.8% and 0.9% for invasive cancer. The age interval 35-44 years is at high risk of CIN III and invasive cancer of the cervix. evaluation of our diagnostic approach shows that: positive predictive value of pap smears with low SLI is 43.2% positive predictive value of pap smears with high SLI is 37.3%.
我们分析了1993年5月1日至1997年4月30日在阿丽亚娜国家生殖健康研究中心筛查的17173份巴氏涂片的结果。在这些巴氏涂片中，进行了613次阴道镜检查和380次活检。结果显示：1.9%的巴氏涂片存在细胞学异常，其中低级别鳞状上皮内病变占0.79%，高级别鳞状上皮内病变占0.66%。CIN III的发病率为1.8%，浸润癌的发病率为0.9%。35 - 44岁年龄组患CIN III和宫颈癌浸润癌的风险较高。对我们诊断方法的评估表明：低级别鳞状上皮内病变巴氏涂片的阳性预测值为43.2%，高级别鳞状上皮内病变巴氏涂片的阳性预测值为37.3%。
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