Kushwah Sweta, Kushwah Beenu
Department of Obstetrics and Gynaecology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.
J Midlife Health. 2017 Jul-Sep;8(3):118-123. doi: 10.4103/jmh.JMH_22_17.
Cervical cancer is the second most common malignancy among women in India, mainly affecting the females of Peri-Menopausal age group. Colposcopy has been very useful for diagnosing cervical cancer to guide the biopsy. Reids and Scalzi proposed the Reids Colposcopic Index (RCI) to make colposcopic diagnosis less subjective, which is currently the most accepted scoring system. Recognizing the correlation of size of the lesion with likelihood of harbouring high grade disease, a new scoring system, the Swede score, has been devised by Strander et al in 2005. In present study we compared the Reids colposcopic index with Swede score. From the present study it is evident that Swede score of 8 or more has 100% specificity and can be used for performing direct excisional procedure as a "see-and-treat" method at this cut-off. This may be the preferred method for the treatment of high-grade CIN because it reduces the number of visits to the clinic and failure to receive treatment.
宫颈癌是印度女性中第二常见的恶性肿瘤，主要影响围绝经期年龄组的女性。阴道镜检查对于诊断宫颈癌以指导活检非常有用。里德（Reids）和斯卡尔齐（Scalzi）提出了里德阴道镜指数（RCI），以使阴道镜诊断减少主观性，这是目前最被接受的评分系统。认识到病变大小与存在高级别疾病可能性之间的相关性，斯特兰德（Strander）等人在2005年设计了一种新的评分系统——瑞典评分（Swede score）。在本研究中，我们比较了里德阴道镜指数和瑞典评分。从本研究中可以明显看出，瑞典评分8分及以上具有100%的特异性，在这个临界值时可作为“观察并治疗”的方法用于直接切除手术。这可能是治疗高级别宫颈上皮内瘤变（CIN）的首选方法，因为它减少了门诊就诊次数和未接受治疗的情况。
