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社区实验室中的宫颈细胞学检查。

Cervical cytology in a community laboratory.

作者信息

McCafferty J A, Green C E, Miller C J

机构信息

Cytology Department, Valley Diagnostic Laboratory, Lower Hutt.

出版信息

N Z Med J. 1989 Jun 28;102(870):316-7.

PMID:2739985
Abstract

A retrospective analysis of the results of 27,801 cervical smears from one year in a community laboratory was undertaken. This represented 23,820 individual patients. Abnormalities were seen in 9.3% of patients. Three point seven percent of patients had benign abnormalities, 5.5% had cervical intraepithelial neoplasia and 0.1% had major abnormalities. The incidence of cervical epithelial abnormality was highest in the 15-34 age group but major abnormalities were seen most often in the 55+ age group. Human papillomavirus was more commonly seen in the youngest age group. The presence of inflammation was reported in 65% of the smears. Thirty percent of smears had no endocervical cells and 0.6% were grossly inadequate. Fifteen percent of patients had repeat smears and 3% of total smears were judged unnecessary. Forty two point six percent of patients less than 55 years of age in the laboratory population base had a smear but only 7.9% of those over 55.

摘要

对某社区实验室一年中27801份宫颈涂片的结果进行了回顾性分析。这代表了23820名个体患者。9.3%的患者存在异常。3.7%的患者有良性异常,5.5%有宫颈上皮内瘤变,0.1%有严重异常。宫颈上皮异常的发生率在15 - 34岁年龄组最高,但严重异常在55岁及以上年龄组最常见。人乳头瘤病毒在最年轻的年龄组中更常见。65%的涂片报告有炎症。30%的涂片没有宫颈管细胞,0.6%严重不合格。15%的患者进行了重复涂片,3%的涂片被判定为不必要。在实验室人群基数中,年龄小于55岁的患者中有42.6%进行了涂片检查,但55岁以上的患者中只有7.9%进行了涂片检查。

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