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The Importance of Prevention and Early Detection of Cervical Lesions by Colposcopy

أهمية الوقاية والكشف عن آفات عنق الرحم بواسطة تنظير عنق الرحم المكبر

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 Publication date 2004
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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Mankind is still suffering from many diseases , and with the development of civilization there are many diseases that appear with different clinical types , but tumors, especially malignant , are still very important. Cervical cancer is the second common cancer in women , as it is the cause of more than 200.000 deaths annually. Hence the importance of early detection of cervical cancer and of decreasing mortality.


Artificial intelligence review:
Research summary
تناقش هذه الدراسة أهمية الوقاية والكشف المبكر عن آفات عنق الرحم باستخدام التنظير المهبلي. سرطان عنق الرحم هو ثاني أكثر أنواع السرطان شيوعًا بين النساء ويسبب أكثر من 200,000 حالة وفاة سنويًا. تهدف الدراسة إلى تسليط الضوء على أهمية الفحص الدوري واستخدام مسحة بابانيكولاو السنوية للكشف المبكر والوقاية والعلاج. شملت الدراسة 86 مريضة في مستشفى الولادة الجديد بدمشق خلال فترة عام واحد من 1/12/2002 إلى 1/12/2003. تم استخدام الملاحظة البصرية المباشرة والتنظير المهبلي باستخدام عدة تكبيرات وحلول مختلفة مثل حمض الخليك ومحلول شيلر. أظهرت النتائج أن هناك توافقًا جيدًا بين طرق الفحص المتاحة لتقليل شدة أمراض عنق الرحم.
Critical review
دراسة نقدية: الدراسة تسلط الضوء على موضوع هام وهو الكشف المبكر عن سرطان عنق الرحم، ولكن هناك بعض النقاط التي يمكن تحسينها. أولاً، حجم العينة صغير نسبياً (86 مريضة) مما قد يؤثر على تعميم النتائج. ثانياً، لم يتم ذكر تفاصيل كافية حول معايير اختيار المشاركات في الدراسة، مما قد يؤثر على مصداقية النتائج. ثالثاً، الدراسة تركز بشكل كبير على الفحص الدوري ومسحة بابانيكولاو، ولكن لم يتم التطرق بشكل كافٍ إلى العوامل الأخرى التي قد تساهم في الوقاية من سرطان عنق الرحم مثل التطعيم ضد فيروس الورم الحليمي البشري.
Questions related to the research
  1. ما هي أهمية الكشف المبكر عن سرطان عنق الرحم؟

    الكشف المبكر عن سرطان عنق الرحم يساعد في تقليل معدلات الوفيات من خلال الكشف عن الآفات في مراحلها المبكرة حيث تكون أكثر قابلية للعلاج.

  2. ما هي الطرق المستخدمة في الدراسة للكشف عن آفات عنق الرحم؟

    تم استخدام الملاحظة البصرية المباشرة والتنظير المهبلي باستخدام عدة تكبيرات وحلول مختلفة مثل حمض الخليك ومحلول شيلر.

  3. ما هو حجم العينة المستخدمة في الدراسة؟

    حجم العينة المستخدمة في الدراسة هو 86 مريضة.

  4. ما هي التوصيات الرئيسية التي توصلت إليها الدراسة؟

    التوصيات الرئيسية هي أهمية الفحص الدوري في عيادات النساء وأخذ مسحة بابانيكولاو السنوية للكشف المبكر والوقاية والعلاج.


References used
Nurs Stand . 2004 Feb 18-24 ; 18(23) : 39-44. Quality in colpscopy. Jolley S. Queensْ Medical Centre , Nottingham. [email protected]
Gynecol Oncol . 2004 Jan ; 92(1):127-34 An analysis of 84244 patients from the British Columbia cytologycolpscopy program . Benedet JL,Matisic JP,Bertrand MA Divisions of Gynaecologic Oncology and Pathology , BC Cancer Agency The University of British Columbia , Vancouver,BC,Canada V5Z 4E6. [email protected]
Int J Cancer . 2004 Apr 10;109(3):461-7 Initial results from a randomized trial of cervical visual screening in rural south India. Sankaranarayanan R,Rajkumar R,Theresa R, Esmy PO, Mahe C, Bagyalakshmi KR, Thara S, Frappart L, Lucas E, Muwonge R, Shanthakumari S, Jeevan D, Subbarao TM, Parkin DM, Cerian J . International Agency for Research on cancer , Lyon, France. sankar@iar
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Cervix cancer is one of the most important gynecological cancers ,which is possible to be reduced by using early precancerous detecting technics . Objective : The aim of the study is to highlighten the colposcopy as a device for early detection o f precancerous lesions in the cervix , and compare the results with histopathology .
This research was carried out in the Department of Obstetrics and Gynecology in Alassad Hospital of Tishreen University in Lattakia in the period between 5th of Jan 2012 to 1st of Aug 2013. The sample tested was divided into two groups: 100 pregnant women, and 50 not pregnant. The study showed that the ratio of the sensitivity of Pap test in pregnancy was 100%, and its quality was 76.74%. The Compatibility with overall histological diagnosis was 79.38%. However, the ratio of the sensitivity of Colposcopy was 90.91% and its quality was 76.74%. The Compatibility with overall histological diagnosis was 78.35%. Thus we conclude that both Pap Smear and colposcopy are safe and good scanning tools. They can be used in the preliminary prognosis for carcinomatous and precarcinomatous tumors through the duration of pregnancy.
The research was conducted in the department of obstetrics and gynecology at Al-Assad university hospital in Lattakia in the period between (1/1/2014) – (30/6/2015). The study included (100) patient, who submitted to colposcopy and Papanicolaou smear to detect the effect of early marriage (early onset of sexual activity) on colposcopic and cellular finding in cervix . The results in (early married women) group (50) patient were compared to control group from patients who (not early married women)group (50) patient. We found that there was important difference in the rate of abnormal colposcopic findings : This rate in early married women was (26%) and in the second was (12%). We also found that there was important difference in the rate of abnormal cellular findings: This rate in early married women was (18%) and in the second was (8%). This assure the effect of early onset of sexual activity (early marriage) on colposcopical and cellular finding in cervix with assuring on the importance of frequent colposcopy and Papanicolaou smear test.
The study is carried on 65 pregnant patients attending the outpatient clinics and inpatient department of Obstetrics and Gynecology of Al Assad University Hospital from February- 2013 until February- 2014. They were divided to three groups. The fir st is preterm labor with intact membranes (25 patients). The second is PROM (20 patients). The third one is control group (20 patients). All of them were submitted to ultrasonography to find cervical changes (cervical canal length and diameter of internal os in order to predict preterm delivery. Cervical canal length has a sensitivity of 91.43%, a specificity of 100%, a positive predictive value of 100%, a negative predictive value of 76.92%, and a relative risk (95% CI) of 4.33 (1.61-11.69) among patients with short cervical canal length and those with normal cervix. Diameter of internal os as a predictor of preterm delivery has a sensitivity of 60%, a specificity of 60%, a positive predictive value of 84%, a negative predictive value of 30%, and a relative risk (95% CI) of 1.2 (0.86–1.68).
Introduction : Premature rupture of membranes (PROM) occurs in 10% of pregnancies , while 3-5% of pregnancies are complicated with Preterm rupture of membranes (PPROM) . Aim : To study the role of uterine cervix injuries in PROM . Materials and M ethods :This is a case-control retrospective study conducted at Obstetrics and Gynecology Department at Al-Assad and Tishreen University Hospitals , Lattakia , Syria , during the period between January 2015 – July 2017 . The case group consisted of 90 PROM patients with a history or a physical examination suggesting a cervical traumatic injury after exclusion the traditional risk factors of premature rupture of membranes, The control group consisted of 50 healthy pregnant women who successfully completed the pregnancy without PROM.

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