阴道镜检查在宫颈病变诊断中的价值  

The Value of Colposcopy in Diagnosis of Cervical Lesion

作　　者：郑健[1] 王妍[2] 

机构地区：[1]内蒙古医学院附属医院妇产科,内蒙古呼和浩特010050 [2]内蒙古医学院细胞生物学教研室,内蒙古呼和浩特010059

出　　处：《内蒙古医学杂志》2005年第7期590-592,共3页Inner Mongolia Medical Journal

摘　　要：目的:评价阴道镜检查在宫颈病变诊断中的价值。方法:对217例患者行宫颈细胞学检查、阴道镜检查及病理学检查并将结果分析比较。结果:①阴道镜检查与病理学检查有较高的符合率;②对宫颈病变及宫颈癌的诊断,阴道镜检查与宫颈细胞学检查有极显著性差异(P<0.01);③诊断假阴性率,阴道镜检查为7.44%,宫颈细胞学检查为23.14%;诊断指数,阴道镜检查为80.06%,宫颈细胞学检查为53.94%,二者在诊断假阴性率及诊断指数均有极显著性差异(P<0.01)。结论:阴道镜检查优于宫颈细胞学检查,阴道镜下活检提高了宫颈癌前病变及宫颈癌的检出率,是诊断宫颈病变的重要辅助手段,具有重要的临床应用价值。Objective:To evaluate the value of colposcopy in diagnosis of cervical lesion.Methods:The cytological examination,colposcopy and cervical biopsy were performed in 217 cases,the results were analyzed and compared.Results:①The coincidence rate of colposcopy with pathological examination was high.②There was markedly significant difference in diagnosis of cervical precancerous lesion and cervical cancer between colposcopy and cytological examination (P<0.01). ③False negative rate of colposcopy and cytological examination was respectively 7.44% and 23.14%,the diagnosis index of colposcopy and cytological examination was respectively 80.06% and 53.94%,showing significcant difference (P<0.01).Conclusion:Colposcopy is superior to cytological examination.With biopsy,the colposcopy method is valuable in diagnosis of cervical lesion for improving detection rate of cervical precancerous lesion and cervical cancer.

关 键 词：阴道镜检查 宫颈病变 

分 类 号：R711.74[医药卫生—妇产科学]