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本文用加藤式自己涂擦法器具对适龄已婚女性5,983人进行宫颈癌细胞学普查,约1/3也以刮片法作为对照。分析对比两组不同方法取材的癌检出率、细胞学诊断结果,涂片质量。结果表明,自己涂擦法与刮片法细胞学分级结果,除Ⅲ级以下稍有出入外,Ⅱ级以上者符合率为100％,且活检证实的癌10例中7例系单纯用自己涂擦法所查出。比较两法取材的涂片质量,自己涂擦法背景干净,红血球少,细胞分布均匀而刮片法混杂较多炎细胞及红血球,细胞重叠现象显著。研究结果表明自己涂擦法具有许多优点,细胞学结果可靠,尤其可节省人力,物力,适合于广大农村及缺乏医师及检查设各的偏僻地区大面积宫颈癌普查。
In this paper, Kato-type self-wiping method apparatus for 5,983 women of the same age married cervical cancer cytological survey, about 1/3 also scraping method as a control. Analysis and comparison of two groups of different methods of cancer detection rate, cytological diagnosis, smear quality. The results showed that their smear and smear cytology grading results, with the exception of grade Ⅲ a little out of the outside, grade Ⅱ and above were 100%, and biopsy confirmed 10 cases of 7 cases of purely by their own Rub method found. Comparison of the quality of smear drawn by the two methods, their own smear method clean background, less red blood cells, cells evenly distributed and smear more mixed inflammatory cells and red blood cells, cell overlap was significant. The results show that rubbing method has many advantages, cytological results are reliable, in particular, can save manpower and material resources, suitable for the vast rural areas and lack of physicians and inspection facilities in large areas of the census of cervical cancer.