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宫颈细胞学细胞变化的常规治疗:宫颈细胞学细胞变化的诊断标准、预防与常规治疗——基于从执业妇科医生处收集的匿名数据对一级和二级预防及常规治疗数据的评估;一项学术性非干预性研究

Routine Treatment of Cervical Cytological Cell Changes: Diagnostic Standard, Prevention and Routine Treatment of Cervical Cytological Cell Changes - An Assessment of Primary and Secondary Prevention and Routine Treatment Data in the Context of an Anonymous Data Collection from Practicing Gynaecologists; an Academic, Non-Interventional Study.

作者信息

Huber J, Pötsch B, Gantschacher M, Templ M

机构信息

ANISNet Academic Non-Interventional Study Net; Specialist in Gynecology and Obstetrics, Vienna, Austria.

Specialist in Gynecology and Obstetrics, Leibnitz, Austria.

出版信息

Geburtshilfe Frauenheilkd. 2016 Oct;76(10):1086-1091. doi: 10.1055/s-0042-105286.

Abstract

Diagnosis and treatment of vaginal and cervical are described in European and national guidelines. The aim of this data collection was to evaluate the remission rates of PAP III and PAP III D cytological findings in patients over a period of 3-4 months. The current state of affairs in managing suspicious and cytological findings (PAP III, and III D) in gynecological practice was assessed in the context of a data collection survey. An evaluation over a period of 24 months was conducted on preventative measures, the occurrence and changes to normal/suspect/pathological findings and therapy management (for suspicious or pathological findings). 307 female patients were included in the analysis. At the time of the survey 186 patients (60.6 %) had PAP III and 119 (38.8 %) had PAP III D findings. The spontaneous remission rate of untreated PAP III patients was 6 % and that of untreated PAP III D patients was 11 %. The remission rates of patients treated with a vaginal gel were 77 % for PAP III and 71 % for PAP III D. A new treatment option was used in gynecological practice on patients with PAP III and PAP III D findings between confirmation and the next follow-up with excellent success.

摘要

欧洲和国家指南中描述了阴道和宫颈疾病的诊断与治疗。本次数据收集的目的是评估3至4个月期间PAP III和PAP III D细胞学检查结果患者的缓解率。在一项数据收集调查的背景下,评估了妇科实践中处理可疑和细胞学检查结果(PAP III和III D)的现状。对预防措施、正常/可疑/病理检查结果的发生及变化以及治疗管理(针对可疑或病理检查结果)进行了为期24个月的评估。307名女性患者纳入分析。调查时,186例患者(60.6%)有PAP III检查结果,119例(38.8%)有PAP III D检查结果。未经治疗的PAP III患者自发缓解率为6%,未经治疗的PAP III D患者自发缓解率为11%。使用阴道凝胶治疗的患者中,PAP III缓解率为77%,PAP III D缓解率为71%。在妇科实践中,对于PAP III和PAP III D检查结果的患者,在确诊至下次随访期间采用了一种新的治疗方案,取得了极佳的效果。

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