2011 Colposcopic Terminology of the International Federation for Cervical Pathology and Colposcopy

2011 Colposcopic Terminology of the International Federation for Cervical Pathology and Colposcopy
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DOI:
10.1097/aog.0b013e318254f90c
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发表时间:
2012-07-01
影响因子:
7.2
通讯作者:
Walker, Patrick
Walker, Patrick
中科院分区:
医学2区
文献类型:
--
作者:
Bornstein, Jacob;Bentley, James;Walker, Patrick

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新的阴道镜术语由国际宫颈病理学和阴道镜联合会命名委员会在对以前的术语进行严格审查、在线讨论以及与国家阴道镜协会和个人阴道镜医师的讨论后制定。本文件已扩展到包括子宫颈和阴道的术语。流行术语“阴道镜检查满意”和“阴道镜检查不满意”已被取代。阴道镜检查应根据三个变量进行评估:1)充分或不充分,并给出原因; 2)鳞柱交界处可见度; 3)转化区类型。其他补充内容包括病变在变性区内部或外部的定位以及宫颈病变大小和位置的决定因素。术语中包含了两个新标志——“内边界标志”和“山脊标志”。添加了以下定义:先天性转化区、息肉(宫颈外或宫颈内)、狭窄、先天性异常和治疗后后果。此外,该术语还包括宫颈切除治疗类型和宫颈切除标本尺寸的标准化。国际宫颈病理学和阴道镜联合会建议 2011 年术语取代所有其他术语并应用于诊断、治疗和研究。 (妇产科 2012 年;120:166-72)DOI:10.1097/AOG.0b013e318254f90c
New colposcopy terminology was prepared by the Nomenclature Committee of the International Federation of Cervical Pathology and Colposcopy after a critical review of previous terminologies, online discussions, and discussion with national colposcopy societies and individual colposcopists. This document has been expanded to include terminology of both the cervix and vagina. The popular terms "satisfactory colposcopy" and "unsatisfactory colposcopy" have been replaced. The colposcopic examination should be assessed for three variables: 1) adequate or inadequate, with the reason given; 2) squamocolumnar junction visibility; and 3) transformation zone type. Other additions were the localization of the lesion to either inside or outside the transformation zone and determinants of size as well as location of cervical lesions. Two new signs were included in the terminology-the "inner border sign" and "ridge sign." The following definitions have been added: congenital transformation zone, polyp (ectocervical or endocervical), stenosis, congenital anomaly, and posttreatment consequence. In addition, the terminology includes standardization of cervical excision treatment types and cervical excision specimen dimensions. The International Federation of Cervical Pathology and Colposcopy recommends that the 2011 terminology replace all others and be implemented for diagnosis, treatment, and research. (Obstet Gynecol 2012;120:166-72) DOI: 10.1097/AOG.0b013e318254f90c