摘要
目的 :探讨阴道镜Reid评分 (RCI)在宫颈上皮内瘤样病变早期诊断中的临床意义。方法 :对 137例因阴道细胞学检查异常或宫颈窥视异常的宫颈病变患者行电子阴道镜检查 ,采用RCI评分评估宫颈病变 ,并在阴道镜指引下行宫颈多点活检 ,所得病理学结果与RCI评分进行对照分析。结果 :采用RCI评分标准与组织病理结果的完全符合率为 76 6 4 % ,包括相差一个级别在内者符合率为 94 16 %。结论 :电子阴道镜用于宫颈病变诊断较为准确、可靠 ;RCI评分作为可量化指标可预示宫颈上皮内瘤样病变的严重程度 ,具有一定的临床意义。
Objective:To investigate the clinical v alue of Reids colposcopic index in early diagnosis of cervical intraepithelial neoplasia.Methods:137 patients with abnormal found in cervical scra ping smear or colposcopy received electronic colposcopy examine. The abnormal i mages under colposcopy were graded by Reids colposcopic index. Cervical biops y was also carried under electronic colposcopy and the results of pathology and RCI were compared.Results:Comparing RCI with pathological outcome,coincid ence rate was 76.64%. Including one grade deviation,the coincidence rate was 94.16%.Conclusion:Electronic colposcopy can be a very accurate a nd reliable diagnostic method in clinical practice. As a measurable index,Rei ds colposcopic index can forebode the serious degree of cervical intraepitheli al neoplasia and may be helpful in the early diagnosis of this disease.
出处
《临床肿瘤学杂志》
CAS
2004年第4期351-352,356,共3页
Chinese Clinical Oncology
