根据子宫内状况,对具有阴性宫涂抹的妇女进行了纵向研究
1Victorian Cytology Service, Melbourne, Australia.
Lancet (London, England)
|February 2, 1991
概括
缺少子宫内部部件的阴性宫癌查的妇女不需要更早的重新查. 该研究没有发现宫内皮质瘤 (CIN) 发生率的显著差异,并且在这个群体中确定的CIN率较低.
科学领域:
- 妇科 妇科医生 妇科
- 细胞病理学 细胞病理学
- 公共卫生 公共卫生
背景情况:
- 宫癌查对于早期检测至关重要.
- 宫涂抹中的宫内部成分在查中的必要性受到争论.
研究的目的:
- 评估内部成分对内瘤 (CIN) 检测率的影响.
- 为了确定阴性涂抹缺少内宫部成分的妇女的最佳重新选间隔.
主要方法:
- 1987年对20222名女性进行了长度研究,其中有20222名妇女的宫涂抹报告是负面的.
- 在含有和不含子宫内脏部件的涂抹之间对CIN发病率的比较.
主要成果:
- 两组之间明确或模两可的CIN发病率没有显著差异.
- 在第一次涂抹检查中缺少子宫内脏部件的妇女中,确切的细胞学证据表明CIN的发生率明显降低.
结论:
- 缺少子宫部成分的阴性宫涂抹不需要更早的重新查.
- 目前针对负面涂抹的重新查指南可以不论是否存在内宫部件,都适用.
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