摘要
目的:探讨电子阴道镜在宫颈疾病诊治中的应用价值和临床意义。方法:收集我院2005年7月~2006年1月妇产科180例宫颈疾病患者,进行阴道镜检查并行宫颈活检组织学检查,将其结果进行分析、比较和总结。结果:①电子阴道镜在诊断宫颈疾病中,敏感度为90.3%,特异度为84.7%,假阴性率9.7%,阳性预测值为83.8%;②阴道镜图像与组织学结果相比,醋白上皮符合率为72.7%,二联征符合率为76.7%,三联征符合率为100%,可疑宫颈癌符合率为100%;③宫颈疾病在年龄分布上,其中以30~39岁发病者所占比例最大,为CIN和CIS的发病高峰。结论:电子阴道镜检查技术诊断宫颈疾病结果准确可靠,有一定应用价值,特别对CIN的早期发现、早期治疗及降低宫颈癌的发病率有重要的指导意义。
Objective: To investigate the clinical value and significance of electronic colposcopy in diagnosis and treatment of cervical lesions. Methods; 180 patients with cervical lesions in our hospital from July 2005 to January 2006 were selected. The results of their colposcopy and pathology were analyzed, compared and summarized. Results:①The sensitivity, specificity , false negative rate and positive predictive value of colpscopy was respectively 90.3 %, 84.7 %, 9.7 % and 83.8 %. ② The coincidence of acetowhite epithelium, twin signs, triple signs and doubtful cervical cancers diagnosed by colposcopy with those by pathology was 72.7 %, 76.7 %, 100 % and 100 %, respectively. ③The age of onset of cervical lesions specially CIN and CIS was mainly between 30 years and 39 years old. Conclusion: Electronic colpscopy is precise, valuable in diagnosis in cervical lesions, specially in ealy diagnosis and treatment of CIN and lessening the occurrence of cervical cancer.
出处
《内蒙古医学杂志》
2008年第8期918-921,共4页
Inner Mongolia Medical Journal
关键词
电子阴道镜检查
宫颈疾病
宫颈癌
Electronic colposcopy i Cervical lesions
Cervical cancer