摘要
[目的 ]研究阴道镜检查在宫颈癌前病变与宫颈癌诊断中的价值。[方法 ]对阴道脱落细胞巴氏涂片Ⅱ级以上或视诊可疑癌或中度以上宫颈糜烂者 ,进行阴道镜检查 ,同时进行宫颈活检作为确诊依据。评价阴道镜对宫颈疾病 ,特别是CIN(宫颈上皮内瘤样病变 )及宫颈癌诊断的可靠性。[结果 ]对宫颈疾病诊断正确率 :阴道镜为 93 8% ,脱落细胞巴氏涂片为 90 7% (P <0 0 1) ;对CIN及宫颈癌的诊断敏感性及特异性 :阴道镜分别为 97 2 %及 92 9% ,阴道脱落细胞检查为 70 2 %及 95 8% (P <0 0 5 ) ;对CIN及宫颈癌诊断的阳性预测值 :阴道镜为 77 5 %、巴氏涂片为 80 9% (P >0 0 5 ) ;阴性预测值 :阴道镜为 99 3 % ,巴氏涂片为 92 4% (P <0 0 1)。阴道镜对宫颈湿疣的诊断敏感性达 10 0 %。[结论 ]阴道镜检查是诊断CIN、宫颈癌及宫颈湿疣的可靠方法。对于巴氏涂片Ⅱ级以下者 ,如果出现症状、体征 ,仍有必要行阴道镜检查。
To study the diagnosis effect of precancerous lesions of uterine cervix and cervical cancer by colposcopy \ The patients with pap smear Grade or more, clinically suspected cervical cancer and cervical erosion with middle to severe degree were examined by colpscopy Meanwhile, cervical biopsy was carried out pathologically as final diagnosis The reliability of diagnosis by colposcopy was evaluated for cervical diseases, especially for cervical intraepithelial neoplasia (CIN) and cervical cancer \ The accuracy rate of diagnosis by colposcopy and pap smear for cervical diseases was 93 8% and 90 7% respectively (P0 01) The sensitivity (Se) and specificity (Sp) in the diagnosis of CINs and cervical cancer by colposcopy were 97 2% and 92 9%and 70 2%and 95 8%by pap smear (P0 05) The positive predictive value (PPV) for CINs and cervical cancer by colposcopy and pap smear was 77 5%and 80 9%(P0 05), and the negative predictive value (NPV) was 99 3%and 92 4%(P0 01) The Se of diagnosis for condyloma by colposcopy was 100 % \ Colpscopy is a reliable method in the diagnosis of CINs, cervical cancer and cervical condyloma acuminatum It is necessary to be examined by colpscopy for the patients with symptoms or signs and less than Grade by pap smear
出处
《海峡预防医学杂志》
CAS
2003年第5期23-25,共3页
Strait Journal of Preventive Medicine
