Lucas A J, Attwood M E
Br Med J. 1970 May 9;2(5705):358-9. doi: 10.1136/bmj.2.5705.358.
Altogether 2,798 cytopipette smears have been taken by patients entering the general medical and surgical wards of a hospital. Twelve unsuspected positive smears were found, a rate of 4 per 1,000. Biopsy of these patients has shown five pre-malignant lesions, one invasive carcinoma of cervix, and one carcinoma of corpus uteri. Five patients await biopsy.The cytopipette is both acceptable to the patient (62% acceptance) and a feasible laboratory technique and can produce good cytological smears. Only 30% of patients entering the hospital had already had the opportunity to obtain a smear before, and most of them welcomed the opportunity for the test.Though the self-pipette may be criticized for its inaccuracy we feel that any test, if it can detect cervical abnormality at the rate of 4 women per 1,000, is better than no test at all. It should have a place in routine cytological testing of women second only to the use of Ayre's spatula.
共有2798名进入医院普通内科和外科病房的患者进行了细胞吸管涂片检查。发现了12例未被怀疑的阳性涂片,比率为每1000人中有4例。对这些患者进行活检显示有5例癌前病变、1例宫颈浸润癌和1例子宫体癌。5名患者等待活检。细胞吸管对患者来说是可以接受的(接受率为62%),并且是一种可行的实验室技术,能够制作出良好的细胞学涂片。进入医院的患者中只有30%之前有机会进行涂片检查,而且他们中的大多数人都欢迎进行该项检查的机会。尽管自行吸管可能因其不准确而受到批评,但我们认为任何一种检查,只要能以每1000名女性中有4例的比率检测出宫颈异常,就总比完全不进行检查要好。它在女性常规细胞学检查中的地位应仅次于使用艾尔刮板。