1Professor, Department of Obstetrics and Gynecology, J.J.M. Medical College, Davangere
2Associate Professor, Department of Biochemistry, J.J.M. Medical College, Davangere
3Postgraduate, Department of Obstetrics and Gynecology, J.J.M. Medical College, Davangere
*Address of Correspondence: Dr. Ramesh A C Professor of O.B.G, J.J.M. Medical College Davangere, karnataka, E-mail: rameshac67@yahoo.com, Mob.: 9448154735
Online published on 1 October, 2015.
To study the efficacy of Ayres spatula with spatula + cytobrush combination & to assess the contribution of cytobrush in the pick-up rate of positive pathology in screening for cervical carcinoma.
A total of 500 cases were selected randomly, all women who were sexually active either of reproductive age group or menopausal were included in the study group selected from the OPD for gynecological check up. Pap smear was taken for each women first with the spatula and then the cytobrush. Cytological evaluation was done following the Bethesda system of reporting(1991) and the rate of positive pathology in each group was calculated.
Cytobrush use significantly increased the number of satisfactory smears. Inadequate smears in the form of absent endocervical cells occurred in 30(6%) of cytobrush smears as compared to 269(53.8%) of spatula smears which was statistically significant (p<0.001). positive pathology was seen in 519(10.6%) of the cytobrush smears as compared to 26(5.41%) of spatula smears which was statistically significant.
There is an increase in the percentage of satisfactory smears with the use of cytobrush along with the Ayre's spatula. Inadequate smears in the form of absent endocervical cells occurred less frequently with cytobrush. The pickup rate of positive pathology was more with cytobrush.
Papincoalou smear, Ayre's spatula, cytobrush, smear quality, Squamous Intraepithelial Neoplasia
