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White vinegar + iodine test with the test in cervical cancer screening colposcopy Application

Microscopy applications in cervical cancer screening accounting Zhang Xian Qi County in Shanxi Women and Children Health Center, Shanxi Qixian 030 900 Abstract Objective: To understand the vinegar white test (VIA) + iodine test (VILI) and the mirror in the cervical cancer screening effect. Currently affecting the health of common reproductive tract of women including reproductive tract infections,[link widoczny dla zalogowanych], cervical cancer and breast cancer. The reproductive tract infections in people tumor virus (HPV16, 18 type) is closely related with cervical cancer, and now the application of our hospital VIA and VILI regions of these viruses infected a higher sensitivity. Thus early diagnosis and early treatment of cervical cancer and effective method available. Key words white vinegar test (VIA) iodine test (VILI) Mirror pathology cervical cancer 【Key Words】 R711.74 marked the Literature article number code】【B】 1007-8517 (2008) l2 (B) a 0037 data and methods for a 1.1 O11 place and time in December 2007 ~ January 2008 using cluster sampling method to select the county that the town of Jia. 1.2 The study did not select the 5 years of age for cervical screening and women age 30 to 59 of 2000 cases of 1.3 1.3.1 Survey content and method of study after informed consent of each subject were questionnaire,[link widoczny dla zalogowanych], including: reproductive tract infection symptoms, pregnancy history, sexual behavior and personal hygiene habits. 1.3.2 gynecological examination of women for each object routine investigation, and the secretions and cervical secretions derived 1.3.3VIA focus on screening and VILI screening survey for each VIA and VILI screening, in which the VIA and VILI-negative-positive women were microscopy ①, abnormal biopsy for pathological examination. 1.3.4 secretions of wet film laboratory ①: cleanliness, trichomoniasis, candidiasis; ② secretion Gram stain: clue cells; ③ Gram stain of cervical secretions: Neisseria gonorrhoeae, white blood cells. 2 Results 2.1 The general age distribution of all 2000 cases 2.1.1, the average age 41.24-7.4 years,[link widoczny dla zalogowanych], minimum 3l years old,[link widoczny dla zalogowanych], maximum 61 years. 2.1.2 1871 marital status accounted for 93.55% of married, remarried 69 accounted for 3.45%, widowed 25 accounted for 1.25% 11 0.55% divorced. 2.1.3 menopausal situation to the next year before the survey period is calculated as menopause, menopause has 321 cases, accounting for 16.05%; were 1721 cases of premenopausal, accounting for 86.05%. 2.2.1 2.2 gynecological examination normal vulva 1925 cases, 2000 cases of total 96.25%; white 8 cases, accounting for 0.4%; ulcers in 2 cases, accounting for 0.1%; warts in 3 cases,[link widoczny dla zalogowanych], 0.15%. 2.2.21724 normal, accounting for 86.2% of all 2000 cases; congestive 150 cases, accounting for 7.5%; condyloma 2 cases, accounting for 0.1%. 2.2.3 Cervical 825 cases of normal cervix, accounting for 41.25%; 1175 cases of anomalies, accounting for 58.75%. 2.3 vinegar white test (VIA) and iodine test (VILI) VIA negative test results 1842 cases (82.1%); VIA positive 158 cases (7.9%); VILI negative 154 cases (7.7%); VHL Yang 1946 cases (92.3%). 2.4 The microscopic examination of abnormal VIA and VILI for further microscopic examination. 276 patients received endoscopic examination, 189 cases of biopsy. Microscopic examination of 276 cases. 2.5 Results The 124 cases (44.92%); low 146 cases (52.89%); height of 5 cases (1.81%); suspicious in 1 case (0.36%). 2.6 The pathology results of 189 cases, 145 cases of normal (76.71%); CINI level in 29 cases (15.34%); CINII 6 cases (3.17%); CINIII 8 cases (4. 23%); cancer, 1 case (0.53%). 3 Discussion 'cervical cancer and HPV infection has a direct relationship, vinegar white test (VIA) can HPV lesions epithelial swelling, can cause reversible nuclear protein and keratin coagulation, or precipitation. HPV infection and CIN lesions within the region contain more nuclear protein, which would enable the local white lesions. Iodine test (VILI) has the glycogen affinity, so that the normal parts of brown or black. And by the HPV infection or CIN and invasive cancer of the original sugar-free, it is shown after iodine painted mustard yellow or orange, enlarged several times in the microscope, to provide accurate positioning of the biopsy to remove the blindness of the past. Cervical Cancer Early Detection and Treatment in the work of a very important significance.
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