妇产科门诊异常宫颈涂片的管理及分析研究

目的探讨如何制定并完善妇产科门诊宫颈涂片的管理制度来加强宫颈癌的预防工作。方法选取妇产科门诊行宫颈细胞学涂片检查,其结果为没有明确意义的不典型鳞状细胞及以上患者共计1950例,对其根据异常宫颈涂片处理指南进行管理,并对所得数据进行统计分析。结果所有异常宫颈涂片患者中有1108例行阴道镜检查,其中包括79.3%的高度鳞状上皮内病变、70.4%的低度鳞状上皮内病变、65.2%的无法除外高度鳞状上皮内病变的不典型鳞状细胞、63.4%的高危型HPVDNA阳性的不典型鳞状细胞的患者行阴道镜检查。加强异常宫颈涂片的管理后,同期相比更高比例的宫颈涂片患者行阴道镜检查,共发现宫颈上皮内瘤变2级上132例。结论建立并完善异常宫颈细胞学涂片的管理制度有助于加强宫颈防癌筛查工作,值得普及推广应用。

Objective To explore how to establish and perfect the obstetrics and gynecology outpatient cervical smears management system to strengthen the prevention of cervical cancer. Methods Cervical cytologic smears were detectgd in obstetrics and gynecology outpatient, 1950 patients had of atypical squamous cells with not clear significance, based on the abnormal cervical smear treatment guidelines for management, and the data obtained were list analyzed. Results All patients with abnormal cervical smear colposcopy in 1108 patients, including 79.3% high grade squamous intraepithelial lesions, 70.4% low-grade squamous intraepithelial lesion, with the exception of 65.2% to high grade squamous intraepithelial lesions of atypical squamous cells, 63.4% high-risk types of HPVDNA positive patients with atypical squamous cells of colposcopy examination. Strengthen the management of abnormal cervical smears, compared to the same period the higher proportion of patients with cervical smear colposcopy examination, were found in cervical intraepithelial neoplasia grade 2 on 132 cases.Conclusion The establishment and improvement of abnormal cervical cytologic smear management system helps to strengthen the cervical cancer screening, is worthy of popularization and application.