Dinh T A, Dinh T V, Hannigan E V, Yandell R B, Dillard E A
Department of Family Practice, St. Luke Hospital, Cedar Rapids, Iowa.
J Reprod Med. 1989 Sep;34(9):621-4.
A retrospective study of 164 women aged 45 and older undergoing colposcopy for abnormal Papanicolaou smears showed that 49% had adequate colposcopy and 51%, inadequate colposcopy. Of those with adequate colposcopy, 23% had positive endocervical curettage (ECC). That finding required conization, which detected one case of microinvasive and two of invasive cervical carcinoma. Of those with inadequate colposcopy, 64% had positive ECC. All patients with inadequate colposcopy underwent conization, which detected 4 cases of microinvasive and 11 of invasive carcinoma. Therefore, women with inadequate colposcopy had a higher risk of invasive disease. ECC is a necessary step in the colposcopic evaluation of elderly women.
一项针对164名45岁及以上因巴氏涂片异常而接受阴道镜检查的女性的回顾性研究表明，49%的女性阴道镜检查充分，51%的女性阴道镜检查不充分。在阴道镜检查充分的女性中，23%的宫颈管刮术（ECC）结果为阳性。该结果需要进行锥形切除术，其中检测出1例微浸润性宫颈癌和2例浸润性宫颈癌。在阴道镜检查不充分的女性中，64%的ECC结果为阳性。所有阴道镜检查不充分的患者均接受了锥形切除术，其中检测出4例微浸润性癌和11例浸润性癌。因此，阴道镜检查不充分的女性患浸润性疾病的风险更高。ECC是老年女性阴道镜评估中的必要步骤。
