阴道镜等三种方式在基层进行宫颈癌筛查的临床研究

Clinical Research for Cervical Cancer Screening at the Grassroots Level in Three Ways (Colposcopy,TCT Joint High-risk HPV-DNA and Cervical Smears)

目的:探讨通过阴道镜,TCT联合高危型HPV-DNA和宫颈刮片这三种方式在宫颈癌及癌前病变中的筛查。方法:对312例因发现宫颈异常或妇科普查时进行宫颈刮片,TCT联合及阴道镜检查结果进行比较分析。结果:312例中,TCT细胞学诊断阳性例数272,阴道镜诊断阳性例数234,宫颈刮片诊断例数225。结论:细胞学检查是宫颈癌的有效筛查方法,阴道镜下的宫颈活检是目前诊断宫颈癌的较可靠的手段。联合应用可提高宫颈癌筛查的特异性和敏感性,对宫颈癌的早期发现具有重要意义。

Objective：To study the through the vaginal lens,TCT joint high-risk type cervical HPV-DNA and blade these three ways in cervical cancer and cancer screening of the lesion before.Methods：312 cases of cervical abnormalities found or gynecological census cervical when blade,TCT joint and vaginal mirror check result was analyzed.Results：In 312 cases,TCT cytology diagnosis fiberobronchoscopically collected tissues or 272,vaginal mirror diagnosis fiberobronchoscopically collected tissues or 234,cervix blade diagnosis number 225.Conclusion：Cytology is cervical cancer screening of effective method,vaginal microscopic cervical biopsy is current diagnosis of cervical cancer is reliable means.Combined application of cervical cancer screening can improve the specificity and sensitivity,to cervical cancer early finding is important.