阴道镜检查在接触性出血宫颈疾病诊断中的价值  

Value of Colposcopy Detection in the Diagnosis of Contactable Bleeding Cervical Disease

作　　者：王焕[1] 李文薇[1] 刘冬[1] 

机构地区：[1]中山大学附属第三医院妇科,广东广州510630

出　　处：《临床医学工程》2013年第11期1344-1345,共2页Clinical Medicine & Engineering

摘　　要：目的评价阴道镜检查在接触性出血宫颈疾病诊断中的应用价值。方法对2011年5月至2013年5月本院行阴道镜检查、有接触性阴道出血病史的308例患者的阴道镜、细胞学、阴道镜定位下活检的病理学检查结果进行分析总结。结果 308例患者中,细胞学检查假阳性率14.3%,假阴性率16.9%;阴道镜检查假阳性率13.5%,假阴性率10.3%;细胞学与阴道镜结果比较,假阳性率差异无统计学意义(P>0.05),假阴性率差异有统计学意义(P<0.05)。阴道镜与病理学检查结果一致者135例,符合率为88.2%。结论阴道镜检查在提高接触性阴道出血宫颈病变检出率中有重要价值,效果优于细胞学检查。Objective To evaluate the application value of colposcopy detection in the diagnosis of contactable bleeding cervical disease. Methods The pathological results of 308 patients with contactable vaginal bleeding undergoing colposcopy, cytology and colposcopy positioning biopsy in our hospital from May 2011 to May 2013 were summarized and analyzed. Results Among 308 patients, the false positive rate and false negative rate of cytologic examination were 14.3% and 16.9% respectively, and the false positive rate and false negative rate of colposcopy were 13.5% and 10.3% respectively; The false positive rate had no significant difference between two methods （P 〉0.05）, but the false negative rate was statistically significant between two methods （P 〈0.05）. Colposcopy and pathological findings were consistent in 135 cases, with the consistent rate of 88.2%. Conclusions Colposcopy has important value in improving the detection rate of contactable vaginal bleeding cervical lesions, which has better detection effect than cytology.

关 键 词：阴道镜检查 接触性阴道出血 宫颈病变 细胞学 

分 类 号：R711.74[医药卫生—妇产科学]