通过直接检查进行子宫癌查
A Sehgal1, V Singh, S Bhambhani
1Institute of Cytology and Preventive Oncology ICMR, Maulana Azad Medical College, New Delhi, India.
Lancet (London, England)
|August 3, 1991
概括
宫视觉检查是发展中国家宫癌查的潜在替代方案,这些国家没有细胞学. 虽然它比细胞学或结肠镜检查不那么敏感,但它为早期检测提供了一个可行的选择.
科学领域:
- 妇科瘤学 妇科瘤学
- 公共卫生 公共卫生
- 诊断成像 诊断成像 诊断成像
背景情况:
- 宫癌查计划在发展中国家大规模实施时面临重大挑战.
- 基于细胞学的查,目前的标准,由于资源限制,往往是不可行的.
- 对于服务不足的人群,迫切需要一种可访问和有效的替代查方法.
研究的目的:
- 评估宫视觉检查作为宫癌查的替代查方法的有效性.
- 为了比较视觉检查的检测率与细胞学和镜检查在宫发育不良的妇女.
- 确定在资源有限的环境中视觉检查的实用性.
主要方法:
- 有细胞学证据表明宫发育不良的妇女被前性跟踪.
- 数据收集包括定期的细胞学和结肠镜检查.
- 宫的粗视觉外观在每个随访阶段都被系统地记录下来.
主要成果:
- 异常的视觉外观只伴随40-50%的检测到的宫癌.
- 细胞检测检测到71%的癌症,而肠镜检测到87%的癌症.
- 尽管灵敏度较低,但视觉检查显示了检测异常的潜力.
结论:
- 宫视觉检查在缺乏细胞学服务的地区是潜在的有用查工具.
- 它可以作为用于检测子宫癌的务实替代品,在先进的查方法无法获得的情况下.
- 对优化视觉检查协议的进一步研究对于全球卫生应用是有必要的.
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