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细胞学和阴道镜检查在宫颈上皮内瘤变门诊患者诊断与管理中的应用

Cytology and colposcopy in the diagnosis and management of outpatients with cervical intraepithelial neoplasia.

作者信息

Allahverdian V, Valaitis J, Kalis O, Pearlman S

出版信息

J Reprod Med. 1980 Jan;24(1):1-4.

PMID:7359496
Abstract

One hundred consecutive outpatients seen in the colposcopy clinic of a private hospital had one or more Papanicolaou smears that suggested cervical atypia, dysplasia or carcinoma in situ. Of these 100 patients, 7% underwent a diagnostic cervical cone biopsy; 11% more had therapeutic conization. The accuracy of colposcopic examination with directed cervical biopsy within one level (under or over) of histologic findings was 88%; the cytologic accuracy within one level of histologic findings was 83%. The study showed that patients with cervical atypia at cytologic examination had dysplasia and carcinoma in situ at subsequent colposcopic cervical examination with directed biopsy.

摘要

在一家私立医院的阴道镜诊所就诊的100例连续门诊患者,其一张或多张巴氏涂片提示宫颈非典型增生、发育异常或原位癌。在这100例患者中,7%接受了诊断性宫颈锥切活检;另有11%接受了治疗性锥切术。阴道镜检查结合在组织学检查结果一级(高于或低于)范围内的定向宫颈活检的准确率为88%;在组织学检查结果一级范围内的细胞学准确率为83%。该研究表明,细胞学检查显示宫颈非典型增生的患者在随后的阴道镜宫颈检查及定向活检中存在发育异常和原位癌。

相似文献

1
Cytology and colposcopy in the diagnosis and management of outpatients with cervical intraepithelial neoplasia.细胞学和阴道镜检查在宫颈上皮内瘤变门诊患者诊断与管理中的应用
J Reprod Med. 1980 Jan;24(1):1-4.
2
Colposcopic management of abnormal cervical cytology in pregnancy.孕期宫颈细胞学异常的阴道镜管理
J Reprod Med. 1988 Mar;33(3):301-6.
3
Colposcopic evaluation of cervical intraepithelial neoplasia.宫颈上皮内瘤变的阴道镜评估
J Reprod Med. 1976 Dec;17(6):327-30.
4
The natural history of cervical intraepithelial neoplasia as determined by cytology and colposcopic biopsy.
Acta Cytol. 1983 Sep-Oct;27(5):482-4.
5
Management of abnormal Papanicolaou smears in pregnancy.孕期巴氏涂片异常的管理。
Obstet Gynecol. 1979 Apr;53(4):484-8.
6
Cervical conization findings in women with dysplastic cervical cytology and normal colposcopy.宫颈发育异常细胞学表现且阴道镜检查正常的女性的宫颈锥切术结果
J Reprod Med. 1990 Apr;35(4):359-61.
7
Colposcopic evaluation of patients with abnormal cervical cytology.宫颈细胞学异常患者的阴道镜评估。
Obstet Gynecol. 1977 Jun;49(6):670-4.
8
[Diagnostic conization of the uterine cervix. II. Comparison of histological diagnoses with cytological and colposcopic tentative diagnoses].[子宫颈诊断性锥切术。II. 组织学诊断与细胞学及阴道镜初步诊断的比较]
Zentralbl Gynakol. 1977;99(17):1028-32.
9
The combined use of cytology and colposcopy in enhancing diagnostic accuracy in preclinical lesions of the uterine cervix.细胞学与阴道镜检查联合应用提高子宫颈临床前病变的诊断准确性。
Acta Cytol. 1982 May-Jun;26(3):285-91.
10
Endocervical curettage as a routine part of colposcopic examinations for abnormal cervical cytology.宫颈管刮术作为宫颈细胞学异常的阴道镜检查常规组成部分。
J Reprod Med. 1985 Nov;30(11):871-3.