| 宫颈上皮内瘤样病变“即诊即治”的新策略 |
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| 引用本文： | 王丽华,许颖,狄文. 宫颈上皮内瘤样病变“即诊即治”的新策略[J]. 中国临床医学, 2009, 16(2) |
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| 作者姓名： | 王丽华 许颖 狄文 |
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| 作者单位： | 1. 上海交通大学医学院附属国际和平妇幼保健院,上海,200030
2. 上海交通大学医学院附属仁济医院妇产科,上海,200001 |
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| 摘 要： | 目的:探讨"即诊即治"在治疗宫颈上皮内瘤样病变治疗中的价值和发展前景.方法:选取2006年3月-2007年1月在上海交通大学医学院附属国际和平妇幼保健院宫颈细胞学异常患者169例.根据细胞学检查结果,将169例分为两组.A组:结果为未明确诊断意义的不典型鳞状细胞(ASCUS)、未明确诊断意义的不典型腺上皮细胞(AGUS)、低度鳞状上皮内病变(LSIL)的患者,共117例;B组:结果为高度鳞状上皮内病变(HSIL)的患者,共52例.并对两组结果进行回顾分析. 结果:A组结合Reid阴道镜评分(RCI),LEEP治疗的特异性98.9%、阳性预测值87.5%、阴性预测值80.7%、总符合率81.2 %,8例A组-RCI高评分患者中7例LEEP病理为CIN II及以上.B组结合阴道镜RCI评分,LEEP治疗的特异性100.0%、阳性预测值100.0%、阴性预测值29.4%、总符合率76.9 %,35例B组-RCI高评分患者中LEEP病理均为CIN II及以上.结论:对于A组患者若阴道镜RCI高评分者,先行宫颈活检,根据病理结果,明确诊断后决定治疗方案.对于B组结合阴道镜RCI高评分患者可采用"即诊即治"方法治疗,而阴道镜RCI低评分的患者,在行阴道镜检查和宫颈活检明确诊断治疗后,需要密切随访复查.
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| 关 键 词： | 子宫颈上皮内瘤样病变 宫颈电圈切除术 即诊即治 |
The New Method of the Treatment of Cervical Intraepithelial Neoplasia the Study of the Suitable Group of the Adaptability of See and Treat Method |
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| WANG Lihua,XU Ying,DI Wen. The New Method of the Treatment of Cervical Intraepithelial Neoplasia the Study of the Suitable Group of the Adaptability of See and Treat Method[J]. Chinese Journal Of Clinical Medicine, 2009, 16(2) |
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| Authors: | WANG Lihua XU Ying DI Wen |
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| Affiliation: | WANG Lihua1 XU Ying1 DI Wen2 1. Department of Gynecology,The International Peace Maternity & Child Health Hospital,Shanghai Jiaotong University of Medicine,Shanghai 200030,2.Deparment of Gynecology , Obstetrics,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200001 |
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| Abstract: | Objective:To approach the adaptability of See and Treat method to identify a suitable group. Methods: A total of 169 subjects in compliance to the screening criteria, who were found the abnormal results of LCT. Group A contained 117 subjects with LCT results of ASCUS, AGUS and LSIL; Group B contained 52 subjects with the results of HSIL. The results of the two groups were analyzed retrospectively. Results: In group A with RCI score, the evaluation of LEEP is the specificity of 98.9%, the positive predictive... |
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| Keywords: | Cervical intraepithelial neoplasia Loop electrosurgical excision procedure See and treat |
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