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阴道镜检查与细胞学检查联合应用在宫颈病理学中的作用

Contribution of combined colposcopy and cytology in cervical pathology.

作者信息

Tamiolakis D, Kalloniatou M, Lambropoulou M, Kambanieris M, Tsopelas A, Daskalakis G, Nikolaidou S, Venizelos I, Papadopoulos N

机构信息

Department of Cytopathology, Regional Hospital of Chania, Mournies, Chania, Crete, 73100, Greece.

出版信息

Arch Gynecol Obstet. 2005 Nov;273(1):39-42. doi: 10.1007/s00404-005-0018-x. Epub 2005 Oct 28.

DOI:10.1007/s00404-005-0018-x
PMID:16041607
Abstract

AIM

The regular Papanicolaou (Pap) smear is the cornerstone of women's preventive healthcare. The introduction of the regular Pap smear as a screening tool for cervical cancer has markedly decreased the number of deaths from cervical cancer. During the past decade, however, the rate of death from cervical cancer has remained relatively static. This screening method is known to have a high percentage of false negative results. To improve the detection of cervical lesions using the Pap smear in screening, a number of adjunct procedures have been developed. The purpose of this study is to evaluate the utility of a magnified chemoluminescent screening examination (Colposcopy) combined with the Pap smear in detecting cervical abnormalities.

METHODS

We investigated a cohort of 58 subjects who have been forwarded for colposcopic evaluation due to referral cytology suggestive of persistent inflammatory process not otherwise specified, and cervical intraepithelial or invasive neoplasia, in Chania Colposcopic clinic.

RESULTS

The higher the lesion detected by cytology, the more severe the corresponding colposcopic impression viewed.

CONCLUSION

The data presented here are in harmony with previous reports and share our experience in a Regional Community Hospital Colposcopy Clinic. An integrated cytology-colposcopy program facilitates the assessment and identification of women harboring cervical pathological conditions.

摘要

目的

常规巴氏涂片检查是女性预防性医疗保健的基石。将常规巴氏涂片作为宫颈癌筛查工具的引入显著降低了宫颈癌的死亡人数。然而,在过去十年中,宫颈癌的死亡率一直相对稳定。已知这种筛查方法有很高比例的假阴性结果。为了在筛查中提高使用巴氏涂片检测宫颈病变的能力,已经开发了一些辅助程序。本研究的目的是评估放大化学发光筛查检查(阴道镜检查)联合巴氏涂片在检测宫颈异常方面的效用。

方法

我们在哈尼亚阴道镜诊所调查了一组58名受试者,这些受试者因转诊细胞学提示持续性炎症过程(未另行说明)以及宫颈上皮内或浸润性肿瘤而被转诊进行阴道镜评估。

结果

细胞学检测到的病变越高,相应的阴道镜检查印象越严重。

结论

此处呈现的数据与先前报告一致,并分享了我们在地区社区医院阴道镜诊所的经验。细胞学 - 阴道镜联合检查程序有助于评估和识别患有宫颈病理状况的女性。

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Contribution of combined colposcopy and cytology in cervical pathology.阴道镜检查与细胞学检查联合应用在宫颈病理学中的作用
Arch Gynecol Obstet. 2005 Nov;273(1):39-42. doi: 10.1007/s00404-005-0018-x. Epub 2005 Oct 28.
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Natural history of false-negative papanicolaou smears: a prospective study using screening colposcopy in addition to cytology.巴氏涂片假阴性的自然史:一项除细胞学检查外还采用筛查性阴道镜检查的前瞻性研究。
J Am Osteopath Assoc. 1998 Oct;98(10):542-6.
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A comparison of the reliability of repeat cervical smears and colposcopy in patients with abnormal cervical cytology.宫颈细胞学异常患者重复宫颈涂片与阴道镜检查可靠性的比较。
J Fam Pract. 1995 Jan;40(1):57-62.
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Colposcopic findings to study cervical changes in reproductive age group women using various contraceptives.阴道镜检查结果研究使用各种避孕措施的育龄期妇女的宫颈变化。
Arch Gynecol Obstet. 2024 Jun;309(6):2799-2809. doi: 10.1007/s00404-024-07394-5. Epub 2024 Mar 10.
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Triage of women with ASCUS and LSIL on Pap smear reports: management by repeat Pap smear, HPV DNA testing, or colposcopy?巴氏涂片报告中不典型鳞状细胞(ASCUS)和低度鳞状上皮内病变(LSIL)女性的分流:通过重复巴氏涂片、人乳头瘤病毒(HPV)DNA检测或阴道镜检查进行管理?
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Should all women with cervical atypia be referred for colposcopy: a HARNET study. Harrisburgh Area Research Network.所有宫颈细胞非典型增生的女性都应转诊接受阴道镜检查吗:一项哈里斯堡地区研究网络(HARNET)的研究。哈里斯堡地区研究网络。
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[Colposcopy and cervical biopsy in patients with routine Papanicolaou smear].[常规巴氏涂片检查患者的阴道镜检查及宫颈活检]
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Identifying women with cervical neoplasia: using human papillomavirus DNA testing for equivocal Papanicolaou results.识别患有宫颈肿瘤的女性:对巴氏涂片结果不明确者使用人乳头瘤病毒DNA检测
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The combined use of cytology and colposcopy in enhancing diagnostic accuracy in preclinical lesions of the uterine cervix.细胞学与阴道镜检查联合应用提高子宫颈临床前病变的诊断准确性。
Acta Cytol. 1982 May-Jun;26(3):285-91.

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