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子宫颈造影术:一种检测宫颈癌的新方法。

Cervicography: a new method for cervical cancer detection.

作者信息

Stafl A

出版信息

Am J Obstet Gynecol. 1981 Apr 1;139(7):815-25. doi: 10.1016/0002-9378(81)90549-4.

Abstract

A new diagnostic method, cervicography, provides permanent, objective documentation of normal and abnormal cervical patterns. The projected cervicogram is comparable to direct visual colposcopic magnification and resolution. The cervicogram can be obtained by a technician and sent to an expert for evaluation. A study of 700 women was undertaken to compare the diagnostic accuracy of colposcopic, cytologic, and cervicographic findings. In 296 women with abnormal cytologic findings, 136 cases of dysplasia or carcinoma were diagnosed by directed biopsy. In 91.1%, both colposcopic and cervicographic findings were suspicious; 2.9% of the cases were detected solely by cervicography, and 5.9% were detected solely by colposcopy. In 404 routinely screened patients with no previous abnormal cytologic findings, nine cases (2.2%) of dysplasia were detected solely as a result of cervicographic screening.

摘要

一种新的诊断方法——宫颈造影术,可对正常和异常宫颈形态提供永久性的客观记录。投射出的宫颈造影图像与直接肉眼阴道镜检查的放大倍数和分辨率相当。宫颈造影图像可由技术人员获取并送交专家进行评估。对700名女性进行了一项研究,以比较阴道镜检查、细胞学检查和宫颈造影检查结果的诊断准确性。在296名细胞学检查结果异常的女性中,通过定向活检诊断出136例发育异常或癌。在91.1%的病例中,阴道镜检查和宫颈造影检查结果均可疑;2.9%的病例仅通过宫颈造影术检测到,5.9%的病例仅通过阴道镜检查检测到。在404名之前没有异常细胞学检查结果的常规筛查患者中,仅通过宫颈造影筛查检测出9例(2.2%)发育异常。

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