Bernal Bastidas S, Panduro Baron J G, Valle España J E, Villagrán Lorenzana A
Ginecol Obstet Mex. 1989 Jul;57:190-2.
From 1980 to 1987 we analyzed prospectively 30 cases of abnormal cytology at the Hospital Civil de Guadalajara without colposcopy. We practice cervical biopsy with Schiller test and according to result we practiced cervical conization. The cytologic results analyzed were: class V 20 (66.6%), class IV 6 (20%), persistent class III 2 (6.6%) and class II with clinical lesion suspicious of cancer 2 (6.6%). From all the patients, in 12 (40%) we found invasive cancer so that we didn't practice conization; in 10 patients (33.3%) we found the same results in the biopsies that in the conization, but in 8 patients (26.6%) the conization results were worse than the biopsies. We had one cytology class V false positive.
1980年至1987年期间，我们在瓜达拉哈拉市民医院对30例未进行阴道镜检查的异常细胞学病例进行了前瞻性分析。我们采用席勒试验进行宫颈活检，并根据结果进行宫颈锥切术。分析的细胞学结果为：V级20例（66.6%），IV级6例（20%），持续性III级2例（6.6%），II级且临床病变可疑为癌症2例（6.6%）。在所有患者中，12例（40%）发现浸润癌，因此未进行锥切术；10例患者（33.3%）活检结果与锥切术相同，但8例患者（26.6%）锥切术结果比活检结果更差。我们有1例假阳性的V级细胞学结果。
