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[新的阴道镜征象——嵴征和内边界]

[The new colposcopic signs--ridge sign and inner border].

作者信息

Sláma J

机构信息

Onkogynekologické centrum, Gynekologicko-porodnická klinika VFN a 1. LF UK, Praha.

出版信息

Ceska Gynekol. 2012 Feb;77(1):22-4.

PMID:22536636
Abstract

OBJECTIVE

To conclude knowledge about new colposcopic signs--ridge sign and inner border.

DESIGN

Review article.

SETTING

Oncogynecological center, Department of Gynecology and Obstetrics, General Faculty Hospital and 1st Medical School of Charles University, Prague.

METHODS AND RESULTS

Recently updated colposcopic classification includes two new colposcopic signs--ridge sign and inner border. Both are mainly present in lesions associated with oncogenic human papillomaviruses infection. Ridge sign represents thick opaque acetowhite epithelium irregularly growing in the squamocolumnar junction as ledges. Inner border is a sharp acetowhite demarcation within a less opaque acetowhite area. The sensitivity and specificity for detection of underlying high-grade lesion is 33.1% and 93.1% in ridge sign and 20% and 97% in inner border sign respectively.

CONCLUSIONS

Ridge sign and inner border are new colposcopic signs, which improve sensitivity and specificity of colposcopic examination.

摘要

目的

总结关于新的阴道镜征象——嵴征和内边界的知识。

设计

综述文章。

单位

布拉格查理大学第一医学院综合医院妇产科肿瘤妇科中心。

方法与结果

最近更新的阴道镜分类包括两个新的阴道镜征象——嵴征和内边界。两者主要出现在与致癌性人乳头瘤病毒感染相关的病变中。嵴征表现为厚的不透明醋酸白色上皮在鳞柱交界处以壁架状不规则生长。内边界是在不太不透明的醋酸白色区域内的清晰醋酸白色分界线。嵴征检测潜在高级别病变的敏感性和特异性分别为33.1%和93.1%,内边界征分别为20%和97%。

结论

嵴征和内边界是新的阴道镜征象,可提高阴道镜检查的敏感性和特异性。

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Ceska Gynekol. 2012 Feb;77(1):22-4.
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