原发性阴道镜检查在泌尿生殖医学中的价值——一项为期六年的回顾。
The value of primary colposcopy in genitourinary medicine--a six year review.
作者信息
Moss T R, Hawkswell J, Fogarty B, Dadswell C
机构信息
Doncaster Royal Infirmary, UK.
出版信息
Genitourin Med. 1994 Jun;70(3):191-5. doi: 10.1136/sti.70.3.191.
OBJECTIVE
To evaluate the effectiveness of primary colposcopy in the genitourinary medicine setting by comparing the cervical cytology and punch biopsy results for women identified as having an abnormal cervical transformation zone.
METHOD
A retrospective audit of six years' findings in primary colposcopy was carried out. The punch biopsy findings of 1338 women were compared with their last cervical cytology results. A small sample of biopsies were subjected to in situ hybridisation for human papilloma virus types 6, 11, 16, 18 and cytomegalovirus.
RESULTS
The tabulated results demonstrated the variability between histology and cytology. This was explored with reference to other studies. The viral typing showed the dominance of low oncogenic risk human papilloma virus types.
CONCLUSION
The findings are discussed against the overall concept of sexual health. Primary colposcopy facilitates empowerment of the patient and her partner through the opportunity for demonstration and explanation of disease processes and options for management. Experience and expertise gathered in six years of primary colposcopy confirm the value of primary colposcopy not only in improved diagnosis and management but also in teaching, audit and research.
目的
通过比较被确定为宫颈转化区异常的女性的宫颈细胞学检查结果和活检结果，评估在性传播疾病诊疗环境中进行初次阴道镜检查的有效性。
方法
对初次阴道镜检查六年的结果进行回顾性审计。将1338名女性的活检结果与其最后的宫颈细胞学检查结果进行比较。对一小部分活检样本进行人乳头瘤病毒6、11、16、18型和巨细胞病毒的原位杂交检测。
结果
列表结果显示了组织学和细胞学之间的差异。并参考其他研究对此进行了探讨。病毒分型显示低致癌风险的人乳头瘤病毒类型占主导。
结论
根据性健康的整体概念对研究结果进行了讨论。初次阴道镜检查通过为患者及其伴侣展示和解释疾病过程以及管理选择的机会，促进了患者及其伴侣的自主权。六年初次阴道镜检查积累的经验和专业知识证实了初次阴道镜检查的价值，不仅在于改善诊断和管理，还在于教学、审计和研究。
Zotero 插件