One, clinicalExamination
1. The vaginaFall off cellular examination(palace neck cell blows an examination) to discover the examination method with the most effective cancer of inchoate palace neck. Because majority of inchoate carninomatosis National People's Congress does not have apparent symptom, sheet of the doctor when clinical examination observes by naked eye very difficult argue admits to whether be put in tumor, because cancer of this inchoate palace neck is very few can seasonable by discovery. Palace neck is exposed in vaginal top, observe easily and draw materials, be in at present so clinical married to every woman, when department of gynaecology is checked or defending cancerous reconnaissance survey, groovy undertake the vagina falls off cellular examination, check an instrument as the sieve. Make the diagnostic positive of inchoate cancer leads palace neck to rise greatly, can amount to 90% above. To raise the accuracy rate that smear diagnoses, special attention wants place of good from palace neck cancer hair namely scale shape is epithelial with draw materials of columnar and epithelial boundary. Area of because old age is woman scale, columnar epithelial have a common boundary is in charge of to the neck inside on move, when draw materials besides blow from place of palace neck vagina outside taking smear, still answer to be in charge of smear of place draw materials from palace neck, lest leak examine.
2. Vaginal lens is checked Vaginal lens can magnify 6~40 times, in order to observes the change of palace neck blood-vessel and organization, can carry highland cancer diagnoses 7~10 times, diagnose with pathology accord with rate for 78% . Vaginal lens can choose live body to organize examination place, assistance is doubtful to vaginal cytology smear person the place that finds inchoate pathological change, limits, property and degree, but cannot discover scale column have a common boundary or outspread palace neck manage the pathological change inside, cannot replace palace neck to blow piece or vivid check.
3. Palace neck photographs With 10mm microscope outspread circle of add 35mm camera and 50mm constitutes photography gift, win place image to project go up in wide 3.3m screen, 1m far observes; Scale column boundary shows entirely, as good as often is negative, discovery is unusual for doubtful, did not see scale column have a common boundary is dissatisfactory. Somebody observes its diagnose accuracy rate for 93.1% , reason is a kind of accuracy tall, cost is low, the new method of facilitating application.
4. Iodine experiments For the iodic solution of 2% chroma direct besmear is on cervix and vaginal mucous membrane, not chromatic place is masculine gender, the help offers live body to organize examination place.
5. Live body organizes an examination Each examination that palace neck has in clinical place is diagnostic important segment, but vivid check is the basis with the most reliable cancer of diagnostic palace neck. In iodic experiment or vaginal lens examination doubtful place draw materials makes pathology inspection. If palace neck surface did not see tumor, need blows the organization inside canal extraction a neck to send pathology the examination.
Resection of taper of 6. palace neck Blow an examination to be masculine gender for many times when palace neck cell, and many bits of vivid check and neck canal blow art negative, or already proved to be former a cancer, the person that cannot eliminate infiltration cancer, awl of feasible palace neck cuts method and send pathology. This kind of method achieves diagnostic purpose to excise focus of a disease along with all the others again namely, be considered as the method of kill two birds with one stone. Because awl cuts the complication that there is different rate after art, be in at present clinical do not use more, it is OK to if regard as,treat an operation total hysterectomy art is replaced.
7. Fluorescence examines a way The mechanism that uses cancerous organization and normal organization to absorb fluorescence to more or less element differs and show different color is diagnosed have without canceration. Cancerous organization absorbs fluorescent element much, the fluorescence of generation is stronger than normal organization and show deep yellow, normal organization is indigo. 8. Tumor biochemistry is diagnosed through the scholar clinical research discovers, inside human body of palace neck carninomatosis, lactic acid dehydrogenation is enzymatic, already candy kinase is apparent heighten, the person that have infiltration especially is more apparent, conduce to clinical diagnose.
2, other examination The particular case that inspects every case of illness can go radiography of graph of cystoscope, proctoscope, kidney, renal pelvis, sternum, pelvis is checked accordingly, can undertake CT scanning or MRI are checked when necessary, to defining the scope of pathological changes, choose appropriate remedial method, raise remedial rate, judgement prognosis, very be necessary. Examine is checked inside double add up to examine, 3 add up to examine, can touch palace neck is local harden, bulky, or for protuberant lump content. The uterus is general not quite. There can be different level to add by palace thick, flexibility disappears or submit conglomeration form. Inchoate can discover without other positive.
(the exercitation edits: Ji Guiyuan)
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