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江西省妇女保健院和江西靖安宫颈癌防治研究所,1974—1983年,对靖安县30岁以上的已婚妇女,应用“四联早期诊断法”进行宫颈癌普查,即:(一)定期观察宫颈及官颈刮片,可疑病变者行宫颈活检和颈管刮术,以确定诊断,安排治疗;(二)对细胞学Ⅲ级以上者(巴氏五级分类法),行宫颈多点活检和宫颈管刮术,以确诊治疗;(三)诊断为间变者,行宫颈锥形切除,并对圆锥标本作12～24等分病理检查:(四)对中、重度间变、早期宫颈癌或细胞学Ⅲ～Ⅴ级未确诊者,住院进一步诊断以决定治疗计划。靖安
Jiangxi Provincial Women’s Health Care Institute and Jiangxi Jingan Institute of Cervical Cancer Control, 1974-1983, the Jing’an County, married women over the age of 30, the application of “quadruple early diagnosis” for cervical cancer screening, namely: (a) regular Cervical and cervical smear observation, suspicious lesions underwent cervical biopsy and neck curettage in order to determine the diagnosis, arrange treatment; (two) cytology grade Ⅲ (Papanicum five classification), cervical multi-point Biopsy and cervical canal curettage, to confirm the diagnosis and treatment; (C) the diagnosis of change in those who underwent conization of the cervix, and the conical specimens for 12 to 24 minutes pathological examination: (D) of the medium and severe changes in the early Cervical cancer or cytology grade Ⅲ ~ Ⅴ unconfirmed, hospitalized for further diagnosis to determine the treatment plan. Jing An