经锥切术确诊的早期宫颈肿瘤：细胞学、阴道镜检查及活检的诊断准确性
Early cervical neoplasia confirmed by conization: diagnostic accuracy of cytology, colposcopy and punch biopsy.
作者信息
Matsuura Y, Kawagoe T, Toki N, Sugihara K, Kashimura M
机构信息
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Iseigaoka, Japan.
出版信息
Acta Cytol. 1996 Mar-Apr;40(2):241-6. doi: 10.1159/000333745.
OBJECTIVE
To investigate the accuracy rates of cytology, colposcopy and punch biopsy in early cervical neoplasia confirmed by conization.
STUDY DESIGN
During the 10 years from 1984 to 1993, cold knife conization was performed on 151 patients with early cervical neoplasia proven by punch biopsy at our department. The accuracy rates of cytology, colposcopy and punch biopsy were investigated.
RESULTS
The accuracy rates of cytology, colposcopy and punch biopsy were 52% (78 of 151), 66% (100 of 151) and 66% (100 of 151), respectively.
CONCLUSION
These results suggest that a composite diagnosis with cytology, colposcopy and punch biopsy is necessary for a correct evaluation. Early cervical neoplasms are frequently seen in young women, and conservative procedures, such as conization, cryosurgery and laser vaporization, are the treatments of choice in order to preserve reproductive function. We recommend conization as the best conservative procedure, with preservation of reproductive function.
目的
探讨细胞学检查、阴道镜检查及活检在经锥切术确诊的早期宫颈肿瘤中的准确率。
研究设计
1984年至1993年的10年间，对我科151例经活检证实为早期宫颈肿瘤的患者实施了冷刀锥切术。对细胞学检查、阴道镜检查及活检的准确率进行了研究。
结果
细胞学检查、阴道镜检查及活检的准确率分别为52%（151例中的78例）、66%（151例中的100例）和66%（151例中的100例）。
结论
这些结果表明，为进行正确评估，细胞学检查、阴道镜检查及活检的综合诊断是必要的。早期宫颈肿瘤在年轻女性中较为常见，为保留生殖功能，锥切术、冷冻手术及激光汽化等保守治疗方法是首选治疗手段。我们推荐锥切术作为最佳保守治疗方法，并保留生殖功能。
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