查詢結果分析
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頁籤選單縮合
題 名 | Papanicolaou Smear Test Plus Speculoscopy to Predict Cervical Neoplasia=子宮頸抹片合併螢光擴陰窺鏡在子宮頸上皮內贅生瘤的篩檢能力 |
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作 者 | 張維君; 蔡鴻德; 徐泰彥; 楊東川; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 36:3 1997.09[民86.09] |
頁 次 | 頁97-100 |
分類號 | 417.2832 |
關鍵詞 | 子宮頸上皮內贅生瘤; 螢光擴陰窺鏡; 陰道鏡; Cervix neoplasms; Speculoscopy; Colposcopy; |
語 文 | 英文(English) |
中文摘要 | 目的:本文主要研究螢光擴陰窺鏡檢查對於傳統子宮頸抹片檢查在子宮頸上皮內 贅生瘤的篩檢敏感度上,是否有輔助效果。 方法:在固定專科醫師的執行下,共有72位病人在接受抹片檢查後,做螢光擴陰窺鏡檢 視。如發覺有異常的白上皮,再安排陰道鏡檢以及必要的切片檢查。 結果:病人年齡在25到56歲之間,平均為37歲。正常抹片共有50位:19位發炎性抹 片中有2位以窺鏡發現異常;在3位異常抹片中,窺鏡卻疏漏了1位。 結論:本研究顯示在有專業的素養和受過訓練的操作者使用下,螢光擴陰窺鏡檢查可增 加上皮內贅生瘤的偵測率:但在大量篩檢時,需有大量非陰道鏡專家參與,其準確率可能下 降。 |
英文摘要 | Objective: To determine whether speculoscopic visualization of the cervix can identify cervical dysplasia and improve detection of lesions missed by Papnicolaou (Pap) test. Methods: Seventy-two women were enrolled randomly at our OPD. Every woman received a Pap test and then a speculoscopic examination. Patients with suspicious aceto-white lesions were referred for colposcopic evaluation. Results: Fifty patients (70%) had normal smears. Twenty-two patients (26%) had inflammatory and 3(4%) dysplastic smears. Five cases with either a positive Pap and/or a suspicious speculoscopy test proved to have cervical neoplasia. Speculoscopy detected 2 additional cases of dysplasia which were not found by Pap test. All the cases which had histopathologically proved cervical dysplasia after colposcopic examination had been detected by Pap test plus speculoscopy. Conclusions: The addition of speculoscopy to pap test seemed to increase the detection of cervical neoplasia if the clinician was well-trained and experienced. |
本系統中英文摘要資訊取自各篇刊載內容。