摘要
目的:探讨宫颈刮片与阴道镜检查在诊断宫颈上皮内瘤变(CIN)的临床应用。方法:通过对386例有接触性出血等临床可疑症状患者分别行宫颈刮片和阴道镜检查,然后以病理组织学诊断为金标准,用敏感性、特异性、假阴性率、假阳性率及诊断符合率进行对比分析。结果:阴道镜检查的敏感性88.17%、特异性89.76%、假阳性率10.24%、假阴性率11.83%、诊断符合率89.38%;宫颈刮片细胞学检查的敏感性49.46%、特异性93.52%、假阳性率6.48%、假阴性率50.54%、诊断符合率82.9%。结论:将宫颈刮片与阴道镜检查联合使用,镜下定位取活体组织进行病理诊断,既避免常规四点活检的盲目性,又能减少各自的假阴性及假阳性,降低漏诊率,提高诊断率。
Objective：To investigate the diagnostic value of cervical scraping smear （C.SS） and electronic colposcope （EC） in patients with cervical intraepithelial neoplasia （CIN）. Methods： A total of 386 female patients with contact bleeding were examined with CSS and EC, regarded pathohistology as gold standard, compared with sensitivity, speci- ficity , false negative rate, false positive rate and diagnose accordance rate. Results： The sensitivity, specificity, false negative rate,false positive rate and diagnose accordance rate of EC were 88. 17% ,89. 76%, 10. 24%, 11.83%, 89.38%. The sensitivity,specificity , false negative rate, false positive rate and diagnose accordance rate of CSS were49. 46%, 93. 52%, 6. 48%, 50. 54% and 82. 9%. Condusion：CSS in combination of EC may cut down the rate of missed diagnosis and increase the early diagnosis rate.
出处
《医学理论与实践》
2009年第8期900-901,904,共3页
The Journal of Medical Theory and Practice
关键词
宫颈刮片
阴道镜
宫颈上皮内瘤变
Cervical scraping smear, Electronic colposcope, Cervical intraepithelial neoplasia
