Krupiński L, Madej J
Geburtshilfe Frauenheilkd. 1981 Jul;41(7):474-7.
The cytological and colposcopic fundamentals for correct diagnosis have been compiled in this article on the basis of 86 cases with residual transformation of the cervix. Colposcopically, the decidual transformation of the portio was subdivided into 4 groups, and the colposcopic characteristics of ectopia decidualis were defined. For cytological clarification of decidual transformation of the cervix, two smears are required. The first, taken from the lateral vault of the vagina, enables an insight into the hormonal functioning of the vaginal mucosa. The second smear is prepared by scraping off the transformed tissue. The smear also contains cells from the lower stratum. These are the decidually transformed stroma cells. Evaluation of these preparations and final diagnosis should be effected by an experienced and skilled cytologist. Colposcopic-cytological examination can supply sufficient diagnostic material to eliminate the need for biopsy for the purpose of histological examination. This has been tested in 21 cases of decidual ectopy.
本文基于86例宫颈残余转化病例，汇编了正确诊断的细胞学和阴道镜学基础。在阴道镜检查中，宫颈部的蜕膜样转化被分为4组，并确定了蜕膜样异位的阴道镜特征。为了从细胞学上明确宫颈的蜕膜样转化，需要两张涂片。第一张取自阴道侧穹窿，有助于了解阴道黏膜的激素功能。第二张涂片是通过刮取转化组织制备的。涂片还包含来自下层的细胞。这些是蜕膜样转化的基质细胞。这些制片的评估和最终诊断应由经验丰富、技术熟练的细胞学家进行。阴道镜-细胞学检查可以提供足够的诊断材料，从而无需为进行组织学检查而进行活检。这已在21例蜕膜样异位病例中得到验证。
