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[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]

[Diagnostic conization of the uterine cervix. II. Comparison of histological diagnoses with cytological and colposcopic tentative diagnoses].

作者信息

Geissler U

出版信息

Zentralbl Gynakol. 1977;99(17):1028-32.

PMID:919877
Abstract

This report presents colposcopic and cytologic misinterpretations in cases with a cervical intraepithelial neoplasia or early invasive carcinoma and benign cervical lesions and the accuracy of these two methods of screening for cervical cancer. The accuracy of the cytology and of the colposcopic impression in predicting the degree of cervical intraepithelial neoplasia and early invasive carcinoma was over 93 per cent. In patients showing benign cervical lesions the cytology is more accurate in predicting the correct histologic change with 94,2 per cent than the colposcopic impression with 63,1 per cent. The suspicious smears (Papanicolaou III) are discussed.

摘要

本报告介绍了宫颈上皮内瘤变或早期浸润癌及宫颈良性病变病例中的阴道镜检查和细胞学检查的误诊情况,以及这两种宫颈癌筛查方法的准确性。细胞学检查和阴道镜检查印象在预测宫颈上皮内瘤变和早期浸润癌程度方面的准确性超过93%。在表现为宫颈良性病变的患者中,细胞学检查在预测正确组织学变化方面更准确,准确率为94.2%,而阴道镜检查印象的准确率为63.1%。还讨论了可疑涂片(巴氏III级)。

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