宫颈细胞学涂片联合阴道镜诊断宫颈病变的临床观察  

Cervical Cytology Smear Combined Colposcopy in the Diagnosis of Cervical Lesions in Clinical Observation

作　　者：许盛芳[1] 

机构地区：[1]四川省内江市第二人民医院,四川内江641000

出　　处：《航空航天医学杂志》2015年第3期300-301,共2页Journal of Aerospace medicine

摘　　要：目的探讨宫颈细胞学涂片联合阴道镜诊断宫颈病变的临床效果。方法选取2013年1月-2013年12月在我院接受宫颈细胞学涂片联合阴道镜检查的880例已婚妇女作为研究对象,对其进行宫颈病变的检查,分析其临床情况。结果宫颈涂片细胞学检查与阴道镜下RCI评分诊断在符合率上相比较差异具有显著性（P〈0.05）,经统计学处理后,阴道镜下诊断CIN的敏感性是94.84%,特异性是88.81%,两者联合的阳性预测值是72.31%,阴性预测值是95.63%。结论宫颈细胞学涂片联合阴道镜检查筛选子宫颈病变可以保证宫颈癌前病变和前期宫颈癌的确诊,还可以成为当地筛选检查宫颈癌前病变的有效政策。Objective To explore the cervical cytological smear the clinical effect of combined colposcopy in the diagnosis of cervical lesions. Methods Between January 2013 and December 2013 in our hospital to accept the cervical cytological smear combined colposcope examination of 880 cases of married women as the research object,on the cervical lesions of inspection,analysis of the clinical condition. Results Of cervical smear cytologic examination and vaginoscope diagnosis coincidence rate in RCI score photogenic compared with significant difference（ P〈0. 05）,after statistics treatment,under colposcopy in the diagnosis of CIN sensitivity was 94. 84%,specificity is 88. 81%,both the positive predictive value was 72. 31% and negative predictive value was 95. 63%. Conclusions Cervical cytological smear combined colposcope examination before screening of cervical lesions can ensure cerical cancer lesions and early diagnosis of cervical cancer,can also become local screening test for cervical cancer lesion before effective policies.

关 键 词：宫颈涂片 阴道镜 宫颈病变 

分 类 号：R446[医药卫生—诊断学]