显微定影式阴道镜的临床应用  

Clinical application of ZoomScope colposcopy

作　　者：林明杰[1] 杨帮萍[1] 胡丽娜[1] 钟玲[1] 

机构地区：[1]重庆医科大学第二临床学院妇产科,重庆400010

出　　处：《重庆医科大学学报》2004年第5期690-692,698,共4页Journal of Chongqing Medical University

摘　　要：目的 :评价显微定影式阴道镜在诊治宫颈疾病中的价值。方法 :378例宫颈疾病应用WALLACH(90 6 0 4 3-SP型 )显微定影式阴道镜检查的结果与TCT、组织病理学诊断进行比较。结果 :阴道镜正常转化区 114例 ,宫颈湿疣 6 8例 ,醋酸白上皮 95例 ,二联征 6 5例 ,三联征 2 0例 ,宫颈癌 4例 ,检查不满意 12例。阴道镜诊治的准确性、特异性、敏感性分别为 80 .5 6 % ,74 .6 0 % ,97.4 8%。阴道镜与TCT、组织学诊断的符合率分别为 88.36 % ,80 .5 6 %。阴道镜与组织病理学诊断宫颈癌变的符合率为 10 0 .0 0 %。结论 :显微定影式阴道镜在诊治宫颈病变准确、可靠 ,TCT与阴道镜监视下多点活检相结合 。Objective:To study the value of ZoomScope colposcopy in diagnosis of cervical diseases.Methods:378 patients with cervical diseases were examined by ZoomScope colposcopy (WALLACH 906043-SP type) from June 2002 to April 2003.The results of 378 patients by colposcopy were compared with Thin-prep Cytology Test (TCT) and histology diagnosis.Results:Colposcopy found normal transformation zone in 114 cases,cervical condyloma in 68 cases,aceto-white epithelium in 95 cases,twin signs in 65 cases,triple signs in 20 cases,cervical cancer in 4 cases,while unsatisfactory colposcopic findings accounted for l2 cases.The accuracy,specificity and sensitivity of colposcopy in evaluation of cervical diseases were 80.56%,74.60%,and 97.48%respectively.The accuracy of colposcopy in diagnosis of cervical diseases were 88.36% and 80.56% respectively as compared with TCT,histology diagnosis,and that of cervical cancer was 100.00% as compared with histology examination.Conclusion:ZoomScope colposcopy in diagnosis of cervical diseases can be accurate,reliable.When colposcopy is combined with TCT and to bospy for cervical diseases,the diagnostic accuracy rate of the precancerous lesions or earlier cervical cancer can be further improved.

关 键 词：宫颈病变 TCT 阴道镜检查 组织学诊断 

分 类 号：R711[医药卫生—妇产科学]