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阴道镜检查1601例的临床分析

CLINICAL ANALYSIS OF 1601 CASES WITH COLPOSCOPIC EXAMINATION

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【作者】 鲍珮瑜王争国苏杏满冼美生

【Author】 BAO Pei-yu WANG Zheng-guo SU Xing-man XIAN Mei-sheng (Dept. of Gyne. Oncology 4th Aff. Hospital, Hebei Medical College, Sijiazhuong. 050011)

【机构】 河北医学院第四医院河北医学院第四医院 石家庄 050011石家庄 050011石家庄 050011

【摘要】 本文报告1976~1991年阴道镜检查1601例的临床分析,大部分病例经过细胞学(1467例)和病理学(1535例)检查,结果如下:1.正常阴道镜图象941例,占58.8%。2.异常阴道镜图象603例,占37.6%。3.不满意阴道镜图象57例,占3.6%。 本组中122例为不典型增生,占7.6%;244例为宫颈癌,占15.2%;其它恶性肿瘤为8例,占0.5%,其余1227例为良性病变,占76.6%。 本组细胞学检查假阴性率为5.9%(29/495例),阴道镜检查假阴性率为2.7%(25/941例),两者合用假阴性率下降至0.4(6/1467例),由此可见在官颈癌早期诊断方面阴道检查确有实效。

【Abstract】 A clinical analysis of 1601 cases with colposcopic examination from1976 to 1991 was reported. In most nof the cases, cytobgical studies and pathological biopsies were done. The results were as follows:1. Normal colpscopic phase was 58,8% (941 cases).2. Abnormal colpscopic phase was 37 .6% (603 cases).3. Dissatisfied colpscopic phase was 3. 6% (57 cases).In thes group, dysplasia epithelium were seen in 122 cases (7.6% ), carcinoma of uterine cervix in 244 cases (15.2% ) and other malignant tumours in 8 cases (0. 5% ). The remnant 1227 cases were benign lesions (76.6%). .In our study, the false-negative rate was 5. 9% in cy totogical examination and 2. 7% in colposcopic examination . In combination of. these two examinations, the false-negative rate was decreased to 0.4%. Based on the above results, we considered that the colposcopy is an effect method in the early diagnosis of cervical cancer.

  • 【文献出处】 癌症 ,Chinese Journal of Cancer , 编辑部邮箱 ,1993年04期
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