267例宫颈接触性出血患者阴道镜检查的价值  

Value of Colposcopy in 267 Patients with Cervical Contactive Bleeding

作　　者：王欢华 吴宜林[2] 吴利玲 张志胜[2] 

机构地区：[1]深圳南山区西丽医院妇产科,广东深圳518055 [2]中南大学湘雅二医院妇产科,湖南长沙410011

出　　处：《医学临床研究》2006年第8期1254-1256,共3页Journal of Clinical Research

摘　　要：【目的】评价阴道镜检查对宫颈接触性出血(cervical contactive bleeding,CCB)患者的诊断价值。【方法】对照分析267例CCB患者的阴道镜检查、宫颈细胞学、阴道镜下定位活检及LEEP术前后病检等各项结果。【结果】阴道镜检查的灵敏度为86.0%,特异性为85.0%;阴道镜拟诊与组织病理学检查之间无显著性差异(P>0.05);阴道镜下定位活检与LEEP术后病检的符合率为77.1%;宫颈细胞学和阴道镜检查结合后的总灵敏度为94%。【结论】阴道镜检查能初步判断CCB的疾病分类;阴道镜检结合细胞学检查,可提高宫颈癌筛查的灵敏度。[Objective]To evaluate colposcopy in diagnosis for cervical disease patients of cervical contactire bleeding（CCB）.[Methods]Pap smears ,colposcopy and pathologic diagnosis before and after LEEP operation were analysed in 267 patients of CCB. [Results]The rate of sensitivity and speciality of colposcopy was 86.0%,85. 0% respectively; combining colposcopy and cervical cytology , the sensitivity was increased to 94% ;before and after LEEP operation,the rate of coincidence with pathologic diagnosis was 77.1%;no difference was found between the results of colposcopy and pathology（ P〉0. 05）. [Conclusion]Colposcopy can judge the pathogeny of patients with CCB preliminarily,colposcopy should be combined with Pap smears.

关 键 词：子宫出血/诊断 阴道镜检查 

分 类 号：R711.52[医药卫生—妇产科学]