924例产后妇女宫颈涂片检查及随访  

EXAMINATION AND FOLLOW-UP OF POSTPARTUM WOMENS CERVICAL SMEAR

作　　者：冷冰 林志新 刘军 侯凤英 蒋维薇 卞美璐 

机构地区：[1]广西省南宁市妇女儿童医院

出　　处：《中日友好医院学报》1999年第16期335-338,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的: 引用脑神经网络模拟人工智能电脑技术, 对产后妇女行宫颈涂片检查并随访,研究产后宫颈细胞病理学特征, 确定产后细胞学异常妇女管理方案。方法: 采用电脑细胞学分析法(CCT) 、巴氏分级系统, 对924 例产后妇女行宫颈涂片检查, 结果异常者随访至正常。结果: 产后宫颈涂片CCT 异常检出率为7-25 % , 上皮细胞异常检出率为4-54 % 。结果异常者随访3 个月～14 个月, 38 例性质未定的不典型鳞状细胞(ASCUS) 和性质未定的不典型腺细胞(AGUS) 患者病变全部消退, 2 例低度鳞状上皮内病变(LSIL) 中有1 例消退,另1 例于宫颈圈电切除术(LEEP) 后3 个月失访。2 例高度鳞状上皮内病变( HSIL) 行LEEP 后, 1 a 内病变均消退。结论: 产后宫颈细胞学特点影响诊断。产后妇女ASCUS、AGUS 及LSIL 不需治疗, 可长期随访。对产后CCT 诊断为HSIL 的妇女应尽早行LEEPObjective:To study cervical cytopathologic characteristics in postpartum women and postpartum women with abnormal cervical cytology.Methods:Nine hundreds and twenty four postpartum women were examined by pap smear by using the Bethesda system of computer assisted cytology test.Forty two postpartum women with proven epithelial abnormalities were followed up until the lensions regressed.Results:The abnormal detection rate of pap smears in postpartum women is 7 25% and the epithelial abnormal rate is 4 54%.Spontaneous regression of lesions occurred in all patients with proven atypia squamous cells of undetermined significance(ASCUS) and atypia glandular cells of undetermined significance(AGUS),and one patient with proven low grade squamous intraepithelial lesion(LSIL) within 3 14 months.Another patient with LSIL failed to follow up three months after loop electrosurgical excision procedure(LEEP).After LEEP,two women with high grade squamous intraepithelial lesion(HSIL) recovered within one year.Conclusion:The cytopathologic characteristics of postpartum cervix have an effect on diagnosis.The postpartum women with ASCUS,AGUS and LSIL could be followed up for a long period without treatment.The postpartum women with HSIL are expected to be treated by LEEP as soon as possible.

关 键 词：宫颈癌 癌前病变 宫颈涂片 诊断 CCT 病理学 

分 类 号：R737.33[医药卫生—肿瘤] R730.43[医药卫生—临床医学]