宫颈癌漏诊病例分析

目的探讨宫颈癌漏诊的原因及特点,提高首诊诊断率。方法回顾性分析2009年1月-2011年3月收治的外院漏诊的65例宫颈癌患者临床资料。结果漏诊的65例中有51例误诊为宫颈糜烂,其中仅13例首诊曾行细胞学筛查,16例行阴道镜检查及活检,总平均年龄仅39岁,农村居民54例。结论各地区应加强宫颈癌筛查意识,采取相应措施及适合的筛查方式提高宫颈癌筛查率,减少漏诊。

Analysis of Missed Diagnosis of Cervical Cancer

Objective To explore the reasons and characteristics of missed diagnosis of cervical cancer to improve the precision of the first diagnosis.Methods A total of 65 patients with cervical cancer who had been misdiagnosed in other hospitals from January 2009 to March 2011 were retrospectively analyzed.Results In these 65 cases,51 had been misdiagnosed as with cervical erosion,among whom 13 were examined by cytology and 16 had undergone colposcopy or cervical biopsy.The average age of these patients was 39 years;54 patients were from countryside.Conclusion We should pay more attention to carry out appropriate measures to improve the screening of cervical cancer and reduce the missed diagnosis rate.