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本文分析56例曾在4—5年内做细胞涂片,诊断为巴氏Ⅰ级的Ⅰ-Ⅳ期子宫颈癌患者。经再复查刮片,估计其结果和失败的原因。发现35例为巴氏Ⅱ-Ⅴ级,21例仍为阴性。21例中只有7例有柱状细胞;14例虽诊断正确,但未见柱状细胞,系因标本未取自磷柱交介区,代表取材不当,普查涂片时,改变涂片分级的百分率为70％,而由专业人员或住院时查的涂片,改变涂片分级者约占50％。曾报道,由临床癌前期至子宫颈浸润癌的发生大约需12年。但也有些作者观察到在达侵润癌之
In this study, 56 patients with stage I-IV cervical cancer who had a Pap smear grade I cytology within 4 to 5 years were analyzed. The re-examination of the scraper to assess the results and the reasons for the failure. Found in 35 cases of Pasteur II-V grade, 21 cases were still negative. Of the 21 cases, only 7 had columnar cells. Although 14 cases were correctly diagnosed, no columnar cells were observed because the specimens were not taken from the phosphorus column in the intervening region, indicating that the specimens were improperly taken. When the smear was changed, the percentage of smear changes 70%, while by the professionals or hospitalized smear, change the smear classification accounted for about 50%. It has been reported that the incidence of preclinical to invasive cervical cancer takes about 12 years. However, some authors observed invasive invasion of cancer