摘要
目的评价电子阴道镜在宫颈病变诊断中的价值和临床意义。方法对我院妇科门诊2010年1—9月间2 279例阴道镜检查病例进行分析。结果阴道镜对宫颈上皮内瘤样病变(CIN)诊断的灵敏度为85.1%(40/47),特异度为53.0%(71/134);对宫颈癌诊断的灵敏度为88.9%(8/9);对湿疣诊断的灵敏度为100%(2/2)。阴道镜的阳性预测值为64.5%(40/62),阴性预测值为89.9%(71/79)。CIN分级与宫颈糜烂的关系无统计学意义(P>0.05)。结论电子阴道镜是一种可行的、有价值的诊断方法,但又有其局限性,需积累经验,综合分析,慎重诊断。
OBJECTIVE To evaluate the value of electronic colposcopy in the diagnosis of cervical lesions.METHOD Analysis of 2 279 cases of colposcopy patients in gynecology clinic during the January 2010 to September 2010.RESULTS The sensitivity of colposcopy to CIN was 85.1%（40/47）,specificity was 53.0%（71/134）.The sensitivity of cervical cancer was 88.9%（8/9）,the sensitivity of condyloma was 100.0%（2/2）,positive predictive value was 64.5%（40/62）,negative predictive value was 89.9%（71/79）.Whereas the acetic acid white punctate epithelial ＋Vascular ＋ embedded in CIN III was higher compared with CIN I and CIN II.CONCLUSION The colposcopy is a aluable diagnostic method,but it has limitations,need experience,comprehensive analysis,careful diagnosis.
出处
《中国初级卫生保健》
2011年第8期55-57,共3页
Chinese Primary Health Care
