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目的探讨影响宫颈癌诊断的相关因素。方法对68例宫颈癌进行临床分析。结果临床症状以阴道出血(90%)及阴道排液(26%)为主。36%曾按功血、宫颈炎治疗,44%两年以上未行宫颈刮片检查。6例宫颈活检为CIN,妇科检查疑浸润癌而再次活检证实为宫颈癌。结论医师的临床诊治经验及水平、阴道镜、宫颈刮片、组织学活检方法及患者的自我保健意识是影响宫颈癌诊断的重要因素。
Objective To explore the related factors that affect the diagnosis of cervical cancer. Methods 68 cases of cervical cancer clinical analysis. Results The clinical symptoms of vaginal bleeding (90%) and vaginal discharge (26%) dominated. Thirty-six percent had been treated with dysfunctional uterine bleeding and cervicitis, while 44% had cervical smear exams for more than two years. 6 cases of cervical biopsy for CIN, gynecological examination suspected invasive carcinoma and again biopsy confirmed as cervical cancer. Conclusion The clinician’s experience and level of clinical diagnosis and treatment, colposcopy, cervical smear, histological biopsy and patient’s awareness of self-care are important factors affecting the diagnosis of cervical cancer.