VIA-VILI结合电子阴道镜检随访筛查早期发现宫颈病变  

Significance of Follow-up Screening Detect Early Cervical Lesions by VIA-VILI Combination with Electronic Colposcopy

作　　者：向群英 黄传英 胡美玲 聂道梅 张玉玲[2] 熊世禄[2] 赵美毅[2] 闫福华[2] 孙淑华[2] 黄奕[2] 

机构地区：[1]湖北省五峰县妇幼保健院,443400 [2]湖北省肿瘤医院妇瘤科

出　　处：《肿瘤防治研究》2009年第11期966-968,972,共4页Cancer Research on Prevention and Treatment

基　　金：卫生部中央财政转移支付子宫颈癌早诊早治资助项目

摘　　要：目的在宫颈癌高发区通过对高危人群实施跟踪随访筛查以达到宫颈癌早期诊断和早期治疗。方法对目标人群的30～59岁适龄妇女应用醋染(VIA)和碘染(VILI)进行初筛,结合电子阴道镜检和病理检查进而明确诊断。结果2006～2007年共筛查5595人,随访检查3676人,最终病理诊断结果证实CINⅠ189例,CINⅡ25例,CINⅢ/原位癌19例,宫颈浸润癌8例。结论碘染、醋染作为宫颈癌的初筛方法其符合率分别为41.6%和64%,但结合阴道镜及镜下定位活检病理检查可大大提高宫颈癌癌前病变及早期宫颈癌的诊断率。Objective To provide data for the early diagnosis and early treatment of cervical cancer by tracking and follow-up screen the highrisk groups of cervical cancer living in high incidence areas. Methods The target population of women （30-59 years old） were firstly screened using vinegar （VIA） and iodine （VILI） staining methods, and then combined with an electronic colposcopy and further pathological examination for final definitive diagnosis. Results 5595 people were screened by VIA and VILI and 3676of them were checked by electronic colposcopy and further pathological examination. The pathology results confirmed that there were 189 cases of CINⅠ, 25 cases of CINⅡ, 19 cases of in situ CIN Ⅲ/carcinoma and 8 cases of invasive cervical.Conclusion The accurate rate of cervical cancer screening using iodine and vinegar staining methods was 41.6%and 64.0%,respectively. The iodine and vinegar staining methods combined with electronic colposcopy and biopsy under positioning pathological examination for cervical cancer can greatly enhance the accurate rate of precancerous lesions and early cervical cancer diagnosis.

关 键 词：VIA VILI 电子阴道镜 筛查 早期诊断宫颈癌 

分 类 号：R737.33[医药卫生—肿瘤]