宫颈环形电切术与阴道镜下活检在诊断宫颈上皮内瘤样变价值比较

Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.     

宫颈环形电切术与阴道镜下活检在诊断宫颈上皮内瘤样变价值比较

Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.     

宫颈环形电切术与阴道镜下活检在诊断宫颈上皮内瘤样变价值比较

Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.     

宫颈环形电切术与阴道镜下活检在诊断宫颈上皮内瘤样变价值比较

Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.     

妊娠期尖锐湿疣86例临床分析

目的：探讨妊娠期尖锐湿疣的临床特点及治疗方法的选择。方法：把86例妊娠期尖锐湿疣分为终止妊娠组（Ⅰ组）和继续妊娠组（Ⅱ组）,按不同的治疗方法又把Ⅱ组分A组和B组,对它们临床特点及治疗方法进行回顾性分析。结果：①终止妊娠后治疗治愈率高、复发率低,与妊娠期治疗相比差异具有显著性（P＜0．01,P＜0．01）。②A、B两组孕妇妊娠结局及围产儿结局比较（P＞0．05）,差异无显著。结论：①孕期尖锐湿疣建议终止妊娠后再行治疗,对继续妊娠者可仅予中药坐浴控制病情,于产后再行治疗。②孕期治疗与否,对妊娠结局及围产儿结局并无明显差异。     

宫颈环形电切术与阴道镜下活检在诊断宫颈上皮内瘤样变价值比较

Objective To compare the diagnostic clinical significance between loop electrosurgical excision procedure (LEEP) and colposcopical biopsy for cervical intracpithelial neoplasia(CIN). Methods 130 cases of pa-tients diagnosed as CIN under colposcopical biopsy were treated by LEEP in court of gynecology clinic. The conven-tional pathologic diagnosis was recorded in all conization specimens. Results The coincidence rate between colpo-scopical biopsy and LEEP biopsy in CIN Ⅰ, CIN Ⅱ, CIN Ⅲ (not comprised carcinoma in situ) was 55.26%,66.10% ,78.79% respectively;The total coincidence rate was 66.15%. The accuracy of colposcopic biopsy for diag-nosing CINⅢ was higher than that for CIN Ⅰ and CIN Ⅱ,but there was no statistical difference. Conclusion Colpo-scopical biopsy for cervical lesions can be achieved for the frist time the results of pathology, have limitations. LEEP biopsy can compensate partially the deficiency of colposcopic biopsy. In a dear diagnosis of CIN, LEEP biopsy and colposcopical biopsy may complement each other, and achieve thcrpeutic effects.     

氨甲喋呤配伍米非司酮治疗异位妊娠临床观察

目的 :探讨氨甲喋呤 (MTX)配伍米非司酮 (RU4 86 )保守治疗异位妊娠的效果。方法 :对确诊为异位妊娠的患者 90例 ,随机分成三组各 30例。组Ⅰ :d1晚口服RU4 86 5 0mg ,d2早晚各口服RU4 86 5 0mg ;组Ⅱ :单次肌注MTX 5 0mg/m2 ;组Ⅲ :d1单次肌注MTX 5 0mg/m2 ,当晚口服RU4 86 5 0mg ,d2早晚各口服RU4 86 5 0mg。每周监测血β -HCG、B超检查附件包块直至恢复正常。结果 :三组成功率分别为 5 6 .6 7%、73.33%、90 % ;血β -HCG转阴平均时间分别为 :4 6 .30± 2 1.37d、34.5 3± 16 .2 7d、2 2 .4 0±7.99d ;附件包块消失平均时间分别为 :36 .4 0± 12 .6 6d、38.37± 11.2 5d、2 8.37± 10 .2 1d。组Ⅲ治疗效果明显高于组Ⅰ和组Ⅱ (P <0 .0 5 )。三种方法药物毒、副反应均较轻 ,无明显差异 (P >0 .0 5 )。结论 :单次肌注MTX与口服RU4 86联用药物保守治疗异位妊娠 ,具有协同作用 ,可提高疗效 ,缩短疗程 ,无明显毒、副作用 ,值得推广。     

阴道用药配合口服药物治疗女性生殖道沙眼衣原体、解脲支原体感染临床观察

目的:探讨阴道用药配合口服药物治疗女性生殖道沙眼衣原体(chlamydiatrichomatisCT)、解脲支原体(ureaplasmaurealyticumUU)感染临床效果。方法:对确诊为CT或(和)UU生殖道感染的患者共300例,随机分成2组,观察组(150例):多西环素100mgbid×7d口服(首次加倍),同时隔日阴道深处放置甲硝唑(0.2)、诺氟沙星(0.1)、多西环素(0.1)各1片,共5次;对照组(150例):多西环素100mgbid×7d口服(首次加倍)。结果:2组治疗成功率分别为90.67%、73.33%,有显著性差异(P <0.001);对宫颈炎、尿路感染、前庭大腺炎等治疗比较,差异有显著性(P <0.01);2组副反应比较,差异无显著性(P >0.05)。结论:阴道用药配合口服药物治疗女性生殖道CT或(和)UU感染具有协同作用,提高了疗效,缩短了疗程,值得推广。     

非小细胞肺癌中PGSK-3β、TCF-4、Ki-67的表达及意义

目的 研究非小细胞肺癌(non-small cell lung cancer,NSCLC)中磷酸化糖原合成酶激酶-3β(PGSK-3β)、T细胞因子(TCF-4)、细胞增殖性抗原Ki-67的表达,探讨它们与肺癌的组织类型、细胞分化的相关性及在肺癌中三指标之间的相关性.方法 运用免疫组化SP法,检测90例非小细胞肺癌PGSK-3β、TCF-4、Ki-67的表达,并统计分析它们表达差异的意义与相关性.结果 (1)肺癌中PGSK-3β、TCF-4、Ki-67阳性率分别为88.89%(80/90)、84.44%(76/90)、80.00%(72/90),三者在中～低分化癌组的阳性率高于高分化癌组,差异有统计学意义(P<0.05).(2)Ki-67在肺鳞癌中的阳性率高于腺癌,且两者的差异有显著统计学意义(P<0.01),而PGSK-3β、TCF-4在肺鳞癌与腺癌中的表达差异无显著统计学意义(P>0.05).(3)PGSK-3β、TCF-4在肺癌中的表达有相关性,且呈正相关(r=0.247 8,P=0.019),而PGSK-3β、Ki-67间及TCF-4、Ki-67间表达无相关性(P>0.05).结论 (1)PGSK-3β、TCF-4是NSCLC发生的正性调控因子,促进NSCLC演进过程,与肺癌的细胞分化相关.(2)Ki-67与肺癌的细胞分化、组织类型有关.(3)PGSK-3β、TCF-4表达都作用于Wnt信号系统,促进癌演进,两指标在癌演进过程中具有协同作用.(4)Ki-67的表达与PGSK-3β、TCF-4无相关性.