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宫颈液基细胞学联合阴道镜检查在宫颈病变诊断中的价值 被引量:2

Diagnosis Value of Cervical Fluid-based Cytology Test Combination Colposcopy Examination for the Cervical Lesion
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摘要 目的:探讨液基细胞学检测(LPT)及阴道镜检查对宫颈病变,尤其是对宫颈上皮内瘤样病变(CIN)的诊断价值。方法:回顾性分析193例宫颈病变患者,81例行宫颈液基细胞学(LPT)检查与阴道镜联合检查,112例单纯行阴道镜,两组均行多点活组织检查,以病理诊断为金标准,对比两组组织学诊断阳性符合率。结果:观察组组织学诊断阳性符合率为61.73%(50/81);对照组为35.71%(40/112),两组阳性诊断符合率比较,差异有高度显著性(P<0.01)。结论:LPT与阴道镜联合检查并配合阴道镜指导下宫颈活检可提高宫颈疾病尤其是CIN的诊断率。 Objective: To explore the diagnosis value of cervical fluid-based cytology test (LPT) and colposcopy for the cervical lesion,especially cervical intraepithelial neoplasia (CIN). Methods: Retrospective study was made on 193 women with cervical lesion,81 cases accepting the joint examination of Cervical Fluid- based Cytology and colposcopy, 112 cases accepting colposcope examination and biopsy straight. Pathologic examination of biopsy under colposcopy served as "goldstandard" ,contrasting coincident rate of diagnosing CIN for two groups. Results: Coincident rate of diagnosing CIN was 61.73% (50/81) and 35.71% (40/112) for objective group and control group respectively, the difference of coincident rate was statistically significant(P〈0. 01 ). Conclusion: Combination of LPT, colposcope examination and cervical biopsy under colposcope could increase the diagnosis rate of cervical lesion, especially CIN.
作者 花怀珍
出处 《安徽卫生职业技术学院学报》 2009年第1期37-38,40,共3页 Journal of Anhui Health Vocational & Technical College
关键词 液基细胞学 阴道镜 宫颈上皮内瘤样病变 fluid-based cytology colposcopy cervical intraepithelial neopla
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