阴道镜检查1601例的临床分析  

CLINICAL ANALYSIS OF 1601 CASES WITH COLPOSCOPIC EXAMINATION

作　　者：鲍珮瑜 王争国[1] 苏杏满[1] 冼美生[1] 

机构地区：[1]河北医学院第四医院,石家庄050011

出　　处：《癌症》1993年第4期325-327,共3页Chinese Journal of Cancer

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。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.

关 键 词：阴道镜检 不典型增生 宫颈癌 

分 类 号：R737.330.4[医药卫生—肿瘤]