Nathan P M, Moss T R
Genitourinary Medicine Department, Doncaster Royal Infirmary, UK.
Int J STD AIDS. 1991 Sep-Oct;2(5):342-5. doi: 10.1177/095646249100200506.
A prospective study of new female patients attending the Genitourinary Medicine Department in Doncaster was carried out to look at the value of colposcopic examination at their first attendance. Of the 100 randomized patients studied 41 showed evidence of colposcopically detected cervical abnormality. Twenty-seven patients had colposcopically directed biopsies. These showed evidence of cervical intraepithelial neoplasia (3 cases), flat condyloma (16 cases), exophytic wart (2 cases), chronic inflammation (2 cases) and normal epithelium (4 cases). Colposcopic cervical abnormalities were significantly associated, with a history of anogenital warts, sexual contact with anogenital warts and the presence of anogenital warts at presentation. Despite this, less than half the group showing colposcopic abnormalities had an association with anogenital warts. Demonstration of cervical abnormalities by colposcopy resulted in a greater patient compliance during follow-up. Screening or primary colposcopy may be incorporated into a genitourinary screen at the first visit. The procedure is both acceptable and beneficial to the patient, facilitating the detection of a range of cervical disease and enhancing the doctor-patient relationship.
对唐卡斯特泌尿生殖医学科新就诊的女性患者进行了一项前瞻性研究，以探讨初次就诊时阴道镜检查的价值。在研究的100名随机分组患者中，41例有阴道镜检查发现的宫颈异常证据。27例患者接受了阴道镜引导下活检。结果显示有宫颈上皮内瘤变（3例）、扁平湿疣（16例）、外生性疣（2例）、慢性炎症（2例）及正常上皮（4例）。阴道镜检查发现的宫颈异常与既往肛门生殖器疣病史、与患肛门生殖器疣者有性接触以及就诊时存在肛门生殖器疣显著相关。尽管如此，阴道镜检查异常的患者中不到一半与肛门生殖器疣有关。阴道镜检查发现宫颈异常使患者在随访期间的依从性更高。筛查或初次阴道镜检查可纳入初次就诊时的泌尿生殖系统筛查。该检查对患者来说既可以接受又有益，有助于发现一系列宫颈疾病并增进医患关系。
