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宫颈涂片检查的临床综述。

A clinical review of cervicography.

作者信息

Turner M J, Byrne B M, Flannelly G, Maguire P, Lenehan P M, Murphy J F

机构信息

National Maternity Hospital, Dublin.

出版信息

Ir J Med Sci. 1990 Feb;159(2):50. doi: 10.1007/BF02937249.

DOI:10.1007/BF02937249
PMID:2347680
Abstract

A new investigative modality, cervicography, has been advocated for cervical screening. In the first 51 patients referred for colposcopy because of an abnormal cervicogram, none had invasive cancer and 75% had preinvasive cancer. The cervicogram appears superior to cytology but inferior to colposcopy in the detection of cervical pathology. Based on the available evidence, however, cervicography cannot be recommended for universal screening. It may have a role in the follow-up of patients with a mildly abnormal cervical smear, but the optimum management remains early referral for colposcopy.

摘要

一种新的检查方法——子宫颈造影术,已被提倡用于子宫颈筛查。在最初因子宫颈造影异常而转诊接受阴道镜检查的51例患者中,无一例患有浸润癌,75%患有癌前病变。在检测子宫颈病变方面,子宫颈造影术似乎优于细胞学检查,但不如阴道镜检查。然而,根据现有证据,不推荐将子宫颈造影术用于普遍筛查。它可能在宫颈涂片轻度异常患者的随访中发挥作用,但最佳处理方法仍是尽早转诊接受阴道镜检查。

相似文献

1
A clinical review of cervicography.宫颈涂片检查的临床综述。
Ir J Med Sci. 1990 Feb;159(2):50. doi: 10.1007/BF02937249.
2
Cervicography as an adjunct to cytologic screening.
Obstet Gynecol Clin North Am. 1993 Mar;20(1):13-29.
3
Colposcopy, cervicography, speculoscopy and endoscopy. International Academy of Cytology Task Force summary. Diagnostic Cytology Towards the 21st Century: An International Expert Conference and Tutorial.阴道镜检查、宫颈造影、直接视诊镜检查和内窥镜检查。国际细胞学会工作组总结。迈向21世纪的诊断细胞学:一次国际专家会议及教程。
Acta Cytol. 1998 Jan-Feb;42(1):33-49. doi: 10.1159/000331533.
4
Is there a role for screening by cervicography in Australia?在澳大利亚,宫颈造影筛查有作用吗?
Med J Aust. 1989 Apr 17;150(8):441-4. doi: 10.5694/j.1326-5377.1989.tb136565.x.
5
The use of cervicography in a primary screening service.子宫颈造影术在初级筛查服务中的应用。
Br J Obstet Gynaecol. 1991 Mar;98(3):313-7. doi: 10.1111/j.1471-0528.1991.tb13400.x.
6
Cervicography: adjunctive cervical cancer screening by primary care clinicians.宫颈图像检查:基层医疗临床医生辅助宫颈癌筛查。
J Fam Pract. 1993 Aug;37(2):158-64.
7
Cervicography. Does it improve cervical cancer screening?子宫颈造影术。它能改善宫颈癌筛查吗?
Acta Cytol. 1997 Mar-Apr;41(2):295-301. doi: 10.1159/000332515.
8
[Digital cervicography criteria: improving sensitivity in uterine cervical cancer diagnosis].[数字宫颈造影标准:提高子宫颈癌诊断的敏感性]
Cad Saude Publica. 2008 Nov;24(11):2653-60. doi: 10.1590/s0102-311x2008001100020.
9
Remote diagnosis of cervical neoplasia: 2 types of telecolposcopy compared with cervicography.宫颈肿瘤的远程诊断:两种远程阴道镜检查与宫颈造影术的比较
J Fam Pract. 2003 Apr;52(4):298-304.
10
[The value of screening using cervicography in dysplasia and neoplasms of the uterine cervix].[宫颈造影术在子宫颈发育异常和肿瘤筛查中的价值]
Rev Med Brux. 1990 Jan-Feb;11(1-2):16-20.

引用本文的文献

1
An overview of prevention and early detection of cervical cancers.宫颈癌的预防与早期检测概述
Indian J Med Paediatr Oncol. 2011 Jul;32(3):125-32. doi: 10.4103/0971-5851.92808.

本文引用的文献

1
Cervicography: a new method for cervical cancer detection.子宫颈造影术:一种检测宫颈癌的新方法。
Am J Obstet Gynecol. 1981 Apr 1;139(7):815-25. doi: 10.1016/0002-9378(81)90549-4.
2
A comparison of the Papanicolaou smear and the cervigram: sensitivity, specificity, and cost analysis.巴氏涂片与子宫颈图像的比较:敏感性、特异性及成本分析。
Obstet Gynecol. 1988 Feb;71(2):229-35.
3
Comparative utility of repeat Papanicolaou smears, cervicography, and colposcopy in the evaluation of atypical Papanicolaou smears.重复巴氏涂片、宫颈造影和阴道镜检查在非典型巴氏涂片评估中的比较效用。
Obstet Gynecol. 1987 May;69(5):731-5.
4
Cervical smears: a questionable practice?宫颈涂片检查:一种有问题的做法?
Lancet. 1989 Jul 22;2(8656):207-9. doi: 10.1016/s0140-6736(89)90384-x.
5
Psychological costs of screening.筛查的心理成本。
BMJ. 1989 Aug 26;299(6698):527. doi: 10.1136/bmj.299.6698.527.