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醋酸加碘染色肉眼观察法筛查宫颈癌的影响因素
引用本文:樊婷婷,赵树旺,崔丽阳,李洁,岳天孚,张丽琴,魏丽惠,乔友林.醋酸加碘染色肉眼观察法筛查宫颈癌的影响因素[J].中国妇幼保健,2011,26(21):3313-3315.
作者姓名:樊婷婷  赵树旺  崔丽阳  李洁  岳天孚  张丽琴  魏丽惠  乔友林
作者单位:1. 天津市大港医院,300270
2. 天津医科大学总医院妇产科
3. 北京大学人民医院妇产科
4. 中国医学科学院肿瘤研究所
基金项目:中央财政转移支付项目〔财社2007190〕
摘    要:目的:探讨醋酸加碘染色肉眼观察法(VIA-VILI)筛查宫颈癌的影响因素。方法:对2003例自愿参加宫颈癌筛查的妇女进行问卷调查,采用VIA-VILI方法筛查宫颈癌,并应用病理诊断对筛查结果进行确认,分析可能影响VIA-VILI方法筛查结果的因素。结果:有经验医师对VIA-VILI方法的筛查结果产生有利影响(β<0,OR<1,P<0.05);近3年未参加筛查及患有宫颈炎症对筛查结果产生不利影响(β>0,OR>1,P<0.05);而妊娠次数、分娩方式、生产次数、醋酸作用时间及是否放置IUD等因素对筛查结果影响不明显(P>0.05)。结论:使用VIA-VILI方法进行宫颈癌筛查时,对患有宫颈炎症的妇女要注意减少漏诊,注意降低假阳性率;加强对医师的技术培训;鼓励妇女定期参加宫颈癌筛查;而对于绝经后妇女则不推荐使用VIA-VILI方法筛查宫颈癌。

关 键 词:醋酸肉眼观察法  碘染色肉眼观察法  宫颈癌  影响因素

Effect factors of visual inspection with acetic acid and iodine staining in screening of cervical cancer
FAN Ting-Ting,ZHAO Shu-Wang,CUI Li-Yang et al.Effect factors of visual inspection with acetic acid and iodine staining in screening of cervical cancer[J].Maternal and Child Health Care of China,2011,26(21):3313-3315.
Authors:FAN Ting-Ting  ZHAO Shu-Wang  CUI Li-Yang
Institution:FAN Ting-Ting,ZHAO Shu-Wang,CUI Li-Yang et al.Dagang Hospital of Tianjin,Tianjin 300270,China
Abstract:Objective:To explore the effect factors of visual inspection with acetic acid and iodine staining in screening of cervical cancer. Methods:2003 women who received cervical cancer screening voluntarily were surveyed by a questionnaire,visual inspection with acetic acid and iodine staining was used in the study,pathological diagnosis was applied to confirm the screening results,the effect factors of visual inspection with acetic acid and iodine staining in screening of cervical cancer were analyzed. Results:E...
Keywords:Visual inspection with acetic acid  Visual inspection with iodine staining  Cervical cancer  Effect factor  
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