如何掌握宫颈癌阶梯确诊步骤.docVIP

如何掌握宫颈癌三阶梯确诊步骤 【摘要】近年来，宫颈癌病变的诊治和宫颈癌普查在全国范围广泛开展，通过进行有效的筛查，及时发现癌前病变和早期宫颈癌，及时进行恰当的处理和治疗。使发病率与死亡率随之下降；宫颈病变是妇女最常见的妇科疾患，做好三阶梯检查的目的就是发现CIN（宫颈上皮内瘤变薄层液基细胞学技术在阴道镜下取。如果没有阴道镜，就直接用复方碘液（没有就用碘酊）涂宫颈。正常宫颈为成熟鳞状上皮，富含糖原，与碘结合呈深棕色，称碘实验阳性，柱状上皮、未成熟上皮及不典型增生上皮不含糖原，涂碘后不着色，称碘实验阴性。有些病变明显者呈芥末黄。在碘实验阴性区、鳞柱交界处取材比较有利诊断。宫颈活检就是子宫颈的活体组织检查，亦即从宫颈上取一小块或几块组织作病理检查，以确定诊断。多用 ??宫颈活检图片 在宫颈可疑有癌变，或是宫颈刮片有可疑的癌细胞，或可疑有特异性的炎症，如宫颈结核等。宫颈活检可以明确诊断，确定治疗方法。宫颈活检是确诊宫颈癌最可靠的依据。无论是早期或晚期宫颈癌，都必须通过本项检查以确定癌肿的病理类型和细胞分化程度。 活检方法 宫颈活检方法很简单。在消毒外阴、阴道、宫颈后，用活检钳，根据病变部位和要求，取几小块组织，放在10％福尔马林溶液中固定，送病理科做切片，染色后，显微镜下观察分析，然后作出病理诊断。 注意事项 宫颈活检应注意以下几点： (1)月经前1周、月经期最好不做，以防出血。 (2)术前应预先检查白带，确诊没有阴道炎，方可进行活检。 (3)取活检的部位可能会出血，因此做完检查后1～2周内不要性交、阴道灌洗或坐浴。阴道出血多时，应到医院检查治疗。 (4)有阴道镜设备的，可在阴道镜下取活检，可提高诊断的准确率。 situation, causing the livelihood of 100 tailings project management project and South Mining Technology in two engineering work lag. Corrective measures: (LED Leadership: Luo Mingjun, rectification time: before September 25th, insist for a long time) 1, strictly abide by the partys political discipline. Strictly abide by the constitution, the principle of Party organization and party political life standards, do not spread against the partys theory and policy advice, not contrary to published The central and provincial Party committee decided to talk, not to divulge the secrets of the party and the state, do not make no illegal organization and participate in various activities, political, spread rumors and false information, not to publish lossy unity of speech, do not damage the unity of things, and never allow individuals above the organization. 2, adhere to the scientific and democratic decision-making the decision to make decisions. Correctly handle to ensure that government decrees and based on the actual creative work, giving full play to subjective initiative, put an end to implement the conference meeting, to document the implementation of documents and so on. To improve the scientific and democratic decision-making mechanism, improv