Correlación entre citología, colposcopía e histopatología de lesiones cervicales intraepiteliales. Hospital Alfredo G. Paulson
Fecha
2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Las lesiones intraepiteliales del cuello uterino, tienen distribución a escala mundial.
Por más de 50 años los estudios de tamizaje se complementan con: Citología
colposcopia y biopsia para aumentar la certeza diagnóstica. La presente
investigación se realizó en el Hospital Alfredo G Paulson durante el período 2019-
2020. Estableciéndose un estudio tipo: Retrospectivo, analítico, correlacional. La
población de estudio contemplo un total de 186 casos con una edad media de 35
años. Los hallazgos colposcópicos fueron: Anormal / grado II / eptielio acetoblanco
denso y puntillado grueso con el 9.1 %. Anormal / grado II / eptielio acetoblanco
denso y mosaico grueso con el 5.9 %. Anormal / grado II signo de la cresta con el
5.4 %. El índice colposcópico de Reid demostró: Probalbilidad de NIC I 45.7 %,
probabilidad de NIC II 47.8 % y probabilidad de NIC III 6.5 %. Se determinó que
si existe correlación entre: Resultados citológicos, colposcópicos e histológicos al
aplicar prueba de Chi cuadrado con una significación asintótica del 0.014 para
citología, del 0.001 para resultado histopatológico y del 0.001 para resultado
colposcópico. La citología cervical tuvo una: Sensibilidad del 93.33 % y
especificidad del 47.22 %, la colposcopía tuvo una sensibilidad del 91.35 % y
especificidad del 97.56 %.
Intraepithelial lesions of the cervix have a worldwide distribution. For more than 50 years, screening studies have been complemented with: Colposcopy cytology and biopsy to increase diagnostic certainty. The present investigation was carried out at the Alfredo G Paulson Hospital during the period 2019-2020. Establishing a type study: Retrospective, analytical, correlational. The study population included a total of 186 cases with a mean age of 35 years. The colposcopic findings were: Abnormal / grade II / dense acetowhite epithelium and thick stippling with 9.1%. Abnormal / grade II / dense acetowhite epithelium and thick mosaic with 5.9%. Abnormal / grade II sign of the crest with 5.4%. The Reid colposcopic index showed: Probability of CIN I 45.7%, probability of CIN II 47.8% and probability of CIN III 6.5%. It was determined that there is a correlation between: Cytological, colposcopic and histological results when applying the Chi square test with an asymptotic significance of 0.014 for cytology, .001 for histopathological results and 0.001 for colposcopic results. Cervical cytology had a: Sensitivity of 93.33% and specificity of 47.22%, colposcopy had a sensitivity of 91.35% and specificity of 97.56%.
Intraepithelial lesions of the cervix have a worldwide distribution. For more than 50 years, screening studies have been complemented with: Colposcopy cytology and biopsy to increase diagnostic certainty. The present investigation was carried out at the Alfredo G Paulson Hospital during the period 2019-2020. Establishing a type study: Retrospective, analytical, correlational. The study population included a total of 186 cases with a mean age of 35 years. The colposcopic findings were: Abnormal / grade II / dense acetowhite epithelium and thick stippling with 9.1%. Abnormal / grade II / dense acetowhite epithelium and thick mosaic with 5.9%. Abnormal / grade II sign of the crest with 5.4%. The Reid colposcopic index showed: Probability of CIN I 45.7%, probability of CIN II 47.8% and probability of CIN III 6.5%. It was determined that there is a correlation between: Cytological, colposcopic and histological results when applying the Chi square test with an asymptotic significance of 0.014 for cytology, .001 for histopathological results and 0.001 for colposcopic results. Cervical cytology had a: Sensitivity of 93.33% and specificity of 47.22%, colposcopy had a sensitivity of 91.35% and specificity of 97.56%.
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Biopsia, Traumatismos del Cuello, Tamización de Portadores Genéticos, Estudio retrospectivos, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador