Young N A, Naryshkin S, Bowman R L
Department of Pathology and Laboratory Medicine, Hahnemann University Hospital, Philadelphia, PA 19102-1192.
Diagn Cytopathol. 1993 Dec;9(6):646-9. doi: 10.1002/dc.2840090608.
At our institution, gynecologists perform Pap smears not only as an initial screening procedure but also at the time of colposcopy and biopsy. We compared the results of initial Papanicolaou (Pap) smears with those taken at colposcopic biopsy to determine if repeating the Pap smear at the time of colposcopy contributed to patient management. We found that repeat colposcopic smears often agreed with the referral smears and biopsies. When there was disagreement, the colposcopic smear was more often a lower grade than the referral smear and correlated best with the biopsy. Both referral and colposcopic smears underestimated the severity of cervical lesions with the same frequency. We could document only 5/414 (1.2%) colposcopic smears that contributed to patient care.
在我们机构，妇科医生不仅将巴氏涂片作为初始筛查程序，还在阴道镜检查和活检时进行巴氏涂片。我们比较了初始巴氏涂片结果与阴道镜活检时所取涂片的结果，以确定在阴道镜检查时重复进行巴氏涂片是否有助于患者管理。我们发现重复的阴道镜涂片结果常常与转诊涂片及活检结果一致。当出现不一致时，阴道镜涂片的分级通常低于转诊涂片，且与活检结果的相关性最佳。转诊涂片和阴道镜涂片低估宫颈病变严重程度的频率相同。我们仅能记录到414份阴道镜涂片中的5份（1.2%）对患者护理有帮助。
