Coibion M, Guenier C, Miloiu A, Andry M, Bonnal J L, Nogaret J M
Service de Chirurgie Mammaire et Pelvienne, Institut Jules Bordet, Bruxelles.
Rev Med Brux. 1990 Jan-Feb;11(1-2):16-20.
In cervical dysplasia and neoplasia, recent studies have reported the unreliability of the pap smear. We have used a new screening technique, cervicography and have compared it to cervix cytology. We have performed biopsies under colposcopy as reference and quality control. On a series of 65 selected patients with pap smear screening program which were sent to the colposcopic triage, the cervicography is more sensitive (83%) than the pap smear (sensitivity: 42%). However, those two tests are from a specificity point of view, comparable (cervicography: 95% versus pap smear: 98%). The association of these two techniques has detected all the lesions: they seem to be complementary. In the Bordet Institute we decided to systematically perform both pap smear and cervicography for cervix screening.
在宫颈发育异常和肿瘤形成方面，近期研究报告了巴氏涂片检查的不可靠性。我们采用了一种新的筛查技术——宫颈造影，并将其与宫颈细胞学检查进行了比较。我们在阴道镜检查下进行活检作为参考和质量控制。在一系列65例经巴氏涂片筛查程序并被送去进行阴道镜分诊的选定患者中，宫颈造影的敏感性（83%）高于巴氏涂片（敏感性：42%）。然而，从特异性角度来看，这两种检查具有可比性（宫颈造影：95%，巴氏涂片：98%）。这两种技术的联合使用检测出了所有病变：它们似乎具有互补性。在博尔德研究所，我们决定在宫颈筛查中系统地同时进行巴氏涂片检查和宫颈造影。
