阴道镜Reid评分对HIV阳性妇女宫颈癌筛查的诊断价值  

Diagnostic value of colposcope Reid score in cervical cancer screening among HIV-positive women

作　　者：李妘[1] 李艳 

机构地区：[1]汉中市中心医院妇科,陕西汉中723000 [2]榆林市吴堡县人民医院妇产科,陕西榆林718299

出　　处：《中国妇幼保健》2016年第21期4579-4581,共3页Maternal and Child Health Care of China

摘　　要：目的探究阴道镜Reid评分对筛查HIV阳性妇女宫颈癌的临床诊断价值。方法选取确诊的HIV阳性妇女284例作为研究对象,并将其随机分为观察组和对照组各142例。观察组患者进行阴道镜检查并结合Reid评分,对照组患者进行液基薄层细胞学检测,对于检测结果异常的患者进行多点活检病理检查。分析两组患者的筛查结果与病理检查的符合率,比较两种筛查方法的灵敏度、特异度和阳性率。结果观察组Reid评分与多点活检组织病理学检查结果符合率75.35%,对照组患者细胞学检测与组织病理学检查结果符合率40.85%,两组比较差异有统计学意义(P<0.01)。对照组的灵敏度稍高于观察组,差异无统计学意义(P>0.05);观察组筛查的特异度为85.23%,明显优于对照组的67.98%,差异有统计学意义(P<0.01)。观察组的阳性率远高于对照组(P<0.01)。结论对HIV阳性妇女患者进行阴道镜Reid评分检查效果好,能准确筛查宫颈癌病变,对宫颈癌的防治具有重要意义,值得进一步推广应用。Objective To explore the clinical diagnostic value of colposcope Reid score in cervical cancer screening among HIV-posi- tive women. Methods A total of 284 women diagnosed as positive HIV were selected as study objects, then they were randomly divided into observation group and control group, 142 cases in each group. The patients in observation group received colposcopic examination and Reid score, while the patients in Control group received thinprep cytology test （TCT） . The patients with abnormal detection results received mul- tiple punch biopsy and patho}ogical examination. The coincidence rates of screening results and pathological examination in the two groups were analyzed. The sensitivities, specificities, and positive rates in the two groups were compared. Results The coincidence rate of Reid score and pathological examination in observation group was 75.35%, while the coincidence rate of TCT and pathological examination was 40. 85%, there was statistically significant diferernce between the two groups （P〈O. O1 ） . The sensitivity in control group was slightly high- er than that in observation group, but there was no statistically significant difference （P〉0. 05） . The specificity in observation group was 85.23% , which was statistically significantly better than that in control group （67. 98% ） （P〈0. 01 ） . The positive rate in observation group was statistically significantly higher than that in coritrol group （P〈0. 01 ） . Conclusion The effect of colposcope Reid score is good for HIV-positive women, which can accurately screen cervical cancer and play a very important role in prevention and treatment of cervical cancer, colposcope Reid score is worthy of further popularization and application.

关 键 词：阴道镜 REID评分 HIV阳性 宫颈癌 

分 类 号：R737.33[医药卫生—肿瘤]