EVALUATION OF COLPOSCOPIC EXAMINATION IN THE DIAGNOSIS OF EARLY CARCINOMA OF UTERINE CERVIX

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EVALUATION OF COLPOSCOPIC EXAMINATION IN THE DIAGNOSIS OF EARLY CARCINOMA OF UTERINE CERVIX

更新时间：2024-01-17

- EVALUATION OF COLPOSCOPIC EXAMINATION IN THE DIAGNOSIS OF EARLY CARCINOMA OF UTERINE CERVIX
- Journal of Chongqing Medical University Issue 3, Pages: 206-209(1985)
- 作者机构：
  
  重庆医学院第一医院妇产科教研室
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：1985，
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[1]曹荃孙,濮存滋.阴道镜检查诊断早期宫颈癌的准确性[J].重庆医学院学报,1985(03):206-209.

EVALUATION OF COLPOSCOPIC EXAMINATION IN THE DIAGNOSIS OF EARLY CARCINOMA OF UTERINE CERVIX. [J]. Journal of Chongqing Medical University (3):206-209(1985)
[1]曹荃孙,濮存滋.阴道镜检查诊断早期宫颈癌的准确性[J].重庆医学院学报,1985(03):206-209. DOI：

EVALUATION OF COLPOSCOPIC EXAMINATION IN THE DIAGNOSIS OF EARLY CARCINOMA OF UTERINE CERVIX. [J]. Journal of Chongqing Medical University (3):206-209(1985) DOI：

摘要

我院妇产科1975～1979年间常规宫颈刮片发现有异常涂片者210例。对镜下活检为宫颈上皮重度非典型增生（12例）、原位癌（70例）及早期浸润癌（11例）共93例的诊断结果作进一步探讨。镜下活检结果与颈管刮术、全子宫切除的宫颈及宫颈锥切标本的病检进行了对照。镜下活检的诊断准确率为90.3％

镜下活检加颈管刮术的诊断准确率为96.8%。研究发现宫颈病变性质与不典型转变区的范围有一定的关系。在重度非典型增生及原位癌

能见到全部不典型转变区的病例

除1例外

病变范围均在宫颈表面的1/4以内。讨论了在有阴道镜检查的条件下诊断性宫颈锥切的指征。

Abstract

Two hundreds and ten patients with abnormal cervical smears were found in our-Gynecological Department from 1975 to 1979. By colposcopically directed biopsies

93 cases were diagnosed as severe

dysplasia(12cases)

carcinoma in-situ(70cases)and early invasive carcinoma(llcases). The results of colposcopically directed biopsies were correlated with the pathological diagnosis of endocervical currettage

hysterectomy and cone biopsy specimens. The diagnostic accuracy of colposcopically .directd biopsies were 90.3 % and that of colposcopically directed biopsies plus endocervical currettage were 96.8%.Our study showed that the greater the surface area of atypical transformation zone

the greater the possibility of invasive carcinoma. In all cases of severe dyspla-sia and carcinoma in-situ

with the entire atypical transformaion zone visualized during examination

except one

the surface area of atypical transformation zone was seen within of the cervical surface. The indications of diagnostic conization of cervix were discussed.

关键词

阴道镜检查子宫颈癌

Keywords

ColposcopyCarcinoma of uterine cervix

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Related Institution

Department of Obstetrics and Gynecology,the Second College of Clinical Medicine,Chongqing Medical University

重庆医科大学第二临床学院妇产科

Department of Clincal Laboratory,Chongqing Maternal and Child Health Hospital

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