Correlación de las lesiones intraepiteliales cervicales reportadas en la citología cervicouterina y colposcopía en mujeres de 25 a 50 años en el Area de Ginecología del Hospital Luis Vernaza, 2017
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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El presente estudio tiene como objetivo determinar la correlación entre el diagnóstico por citología y estudio colposcopico en pacientes con neoplasia intraepitelial cervical que acuden a la consulta ginecológica en el Hospital Luis Vernaza, el estudio es de tipo investigativo observacional con su corte y proyección de tipo transversal y retrospectivo, donde la muestra fue de 300 pacientes, pero de los cuales 250 cumplieron con los métodos de inclusión para el estudio. En sus resultados tenemos 160 casos fueron citología normal los cuales se correlaciono con colposcopia dando 80% de casos de lesión de bajo grado y 13% de alto grado. Citología anormal con 90 casos que reportaron en la colposcopia un 48% en L-SIL y 50% en H-SIL, concluimos que la citología es un método de detección temprana para las lesiones pre malignas pero no debe ser el único método para diagnosticarlas, se debe exigir una correlación con citología y como recomendación que sean correlacionadas también con una biopsia dirigida para certificar en su totalidad el diagnóstico.
The present study aims to determine the correlation between cytology diagnosis and colposcopic study in patients with cervical intraepithelial neoplasia who come to the gynecological consultation in the Luis Vernaza Hospital, the study is of observational research type with its cut and projection of transverse, retrospective type, where the sample was of 300 patients but of which 250 complied with the methods of inclusion for the study, In its results we have 160 cases were normal cytology which correlated with colposcopy giving 80% of cases of low grade injury and 13% high grade, Abnormal cytology with 90 cases which reported on colposcopy 48% in L-SIL and 50% in H-SIL. We conclude that cytology is an early detection method for pre malignant lesions but it should not be the only method to diagnose them, a correlation with cytology should be required and as a recommendation they should also be correlated with a directed biopsy to fully certify the diagnosis.
The present study aims to determine the correlation between cytology diagnosis and colposcopic study in patients with cervical intraepithelial neoplasia who come to the gynecological consultation in the Luis Vernaza Hospital, the study is of observational research type with its cut and projection of transverse, retrospective type, where the sample was of 300 patients but of which 250 complied with the methods of inclusion for the study, In its results we have 160 cases were normal cytology which correlated with colposcopy giving 80% of cases of low grade injury and 13% high grade, Abnormal cytology with 90 cases which reported on colposcopy 48% in L-SIL and 50% in H-SIL. We conclude that cytology is an early detection method for pre malignant lesions but it should not be the only method to diagnose them, a correlation with cytology should be required and as a recommendation they should also be correlated with a directed biopsy to fully certify the diagnosis.
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Lesiones intraepiteliales escamosas del cuello uterino, Colposcopía, Citología, Estudios retrospectivos, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador