摘要
目的探讨阴道镜与阴道脱落细胞学联合诊断宫颈病变的临床价值。方法以2008年3月至2009年4月我院妇科门诊诊治的宫颈病变患者338例为研究对象,以病理诊断为黄金标准,比较分析阴道镜检查组、脱落细胞学检查组以及二者联合检查组与病理诊断的符合率。结果阴道镜、阴道脱落细胞学和联合检查对宫颈糜烂和子宫内膜异位症诊断与病理诊断符合率较高,三者比较无显著性差异(P>0.05);联合检查对宫颈癌及癌前病变诊断符合率达81.82%,显著高于其他2组(P<0.01);阴道脱落细胞学检查对宫颈息肉诊断。结论阴道镜和阴道脱落细胞学检查对宫颈常见病变诊断价值较高,但对宫颈癌及癌前病变诊断准确度较低,联合检查对宫颈病变的性质具有实用价值,值得推广应用。
Objective To investigate the clinical value of colposcopy combined with liquid based cytology test（LCT）in diagnosis of cervical lesions.Methods 338 cases of outpatient cervical lesions that examined by colposcopy,liquid based cytology and their joint Inspection Unit were comparative analyzed the diagnosis compliance rate according the pathological diagnosis as the gold standard in our hospital gynecology from March 2008 to April.Results The diagnosis compliance rate of colposcopy,LCT and the Joint Inspection on the cervical erosion and endometriosis were good,there was no significant difference（P0.05）beteen any two groups among three groups;the diagnosis compliance rate of the Joint Inspection of the cancer and precancerous was 81.82%,significantly higher than the other two groups（P0.01）.Conclusion Colposcopy and LCT both were good to diagnose cervical common diseases,the Joint Inspection of the nature of cervical disease,especially of cervical cancer and precancerous is useful and should be widely applied.
出处
《中外医疗》
2011年第5期9-9,11,共2页
China & Foreign Medical Treatment
