子宫颈管搔刮术对宫颈高级别鳞状上皮内病变的检出价值 .pdf

178 2021 48 2  Cancer Res Prev Treat,2021,Vol.48,No.2 · · 肿瘤防治研究 年第 卷第 期 doi:10.3971/j.issn.1000-8578.2021.20.0711 临床诊断 · · 子宫颈管搔刮术对宫颈高级别鳞状上皮内 病变的检出价值 王琦，涂开家，巢金珍，曾莹，傅佳，敖梅红 Value of Endocervical Curettage in Detection of High-grade Cervical Squamous Intraepithelial Lesion WANG Qi, TU Kaijia, CHAO Jinzhen, ZENG Ying, FU Jia, AO Meihong Department of Oncology, Jiangxi Maternal and Child Health Hospital, Nanchang 330006, China CorrespondingAuthor:TUKaijia,E-mail:***************** Abstract: Objective To explore the value of endocervical curettage (ECC) in the detection of high-grade  Methods We retrospectively analyzed the clinical features  cervical squamous intraepithelial lesion (HSIL).  Results Among 678  and colposcopical characteristics of 678 female patients with complete clinical data.  vs. 1.03%,  cases, 391 cases were confirmed by cervical biopsy only and 7 cases by ECC only (57.67%  P0.001). ECC checked out 287 HSIL patients (42.33%, including cervical biopsy positive and negative  cases) and cervical biopsy checked out 671 HSIL cases (98.97%, including ECC positive and negative cases).  There were 68 positive ECC cases in the conversion area of Type 1+Type 2 and 247 positive ECC cases in  vs. 52.11%, P0.001). The positive rates of ECC in patients the conversion area of Type 3(33.33%  45 years  ≥ vs. 40.96%, P0.001). Conclusion The  old and 45 years old were 145 and 170, respectivel