论文部分内容阅读
目的为宫颈细胞学异常的患者建立一整套规范、完整的门诊病案,便于患者的随访和治疗,同时也为临床积累了丰富的医疗资料。方法对在2008年4月-2009年2月期间,北京市两癌筛查中的宫颈细胞学异常到阴道镜门诊就诊的281例患者,给予阴道镜检查及手术治疗,同时将所有资料进行整理、分析、归档,建立完整门诊病案。结果宫颈癌前期病变中的高级别的宫颈病变患者(CIN2-3)71例,宫颈癌伴早期浸润4例,经宫颈LEEP术后治愈4例,经宫颈LEEP术后组织病理学为宫颈癌Ib2患者入本院妇科或转院切除子宫。高级别的宫颈病变患者的随访率100%。结论(1)建立系统的宫颈细胞学异常患者门诊病案管理是提高阴道镜门诊的诊治、管理水平的前提。(2)宫颈癌占妇女癌症第二位,加强对广大妇女进行的两癌筛查工作意义重大。
The aim is to establish a set of standardized and complete outpatient medical records for patients with abnormal cervical cytology to facilitate the follow-up and treatment of patients and to accumulate abundant medical information for the clinic. Methods From April 2008 to February 2009, 281 cases of cervical cytology abnormalities in screening for two cancers in Beijing were treated by colposcopy clinics for colposcopy and surgical treatment, and all the information was collated , Analysis, archiving, the establishment of a complete outpatient medical record. Results 71 cases of cervical precancerous lesions (CIN2-3), 4 cases of cervical cancer with early infiltration, 4 cases of cervical precancerous lesions after LEEP, and histopathology of cervical precancerous lesions after cervical LEEP were identified as Ib2 Patients into our hospital gynecology or transfer of the uterus. High-grade cervical lesions follow-up rate of 100%. Conclusion (1) The establishment of systematic cervical cytology abnormal patient outpatient medical record management is to improve the diagnosis and treatment of colposcopy clinics, the management of the premise. (2) Cervical cancer ranks second in women’s cancer and it is of great significance to strengthen the screening of the two cancers for the majority of women.