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[阴道镜检查在子宫颈癌前病变及癌性疾病诊断中的价值]

[THE VALUE OF COLPOSCOPY EXAMINATION IN DIAGNOSIS OF PRECANCEROUS AND CANCEROUS DISEASES OF THE CERVIX].

作者信息

Dimitrov I, Andreeva P, Chaveeva P, Konovalova M, Shterev A

出版信息

Akush Ginekol (Sofiia). 2015;54(7):11-5.

Abstract

The aim of this study is to present the value of colposcopy examination in diagnosis of precancerous and cancerous diseases of the cenvix. A retrospective study analyze 127 patients at SA GBAL" Dr. Shterev Hospital" that undenNent, firstly cervical smear test and secondly a colposcopic punch biopsy The patients are divided in two groups--one group of cytologically non-signaled patients with results from the Pap test I-II and one group with cytologically -signaled patients with results from the Pap test III-IV The data shows a correlation between the cytological and histological results of the second group and absence of such a correlation in the first group. In the non-signaled group the mild precancerous lesions to Thvasive cen'ical cancer were left undiagnosed. The conduct of a routine colposcopy during preventive gynecological examination will reduce the deficiencies of the cytological method and by amplifying it, it will lead to better results of the diagnosis and treatment of the precanceroses and the cervical cancer.

摘要

本研究的目的是阐述阴道镜检查在诊断宫颈癌前病变和癌症方面的价值。一项回顾性研究分析了在“什捷列夫医生医院”接受治疗的127例患者,这些患者首先进行了宫颈涂片检查,其次进行了阴道镜下活检。患者被分为两组——一组是巴氏试验结果为I-II级的细胞学无异常信号患者,另一组是巴氏试验结果为III-IV级的细胞学有异常信号患者。数据显示,第二组的细胞学和组织学结果之间存在相关性,而第一组则不存在这种相关性。在无异常信号组中,轻度癌前病变至浸润性宫颈癌均未被诊断出来。在预防性妇科检查中进行常规阴道镜检查将减少细胞学方法的不足,并通过对其进行补充,从而提高癌前病变和宫颈癌的诊断及治疗效果。

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