阴道镜联合宫颈细胞学检查在宫颈癌筛查中的应用分析  

Application Analysis of Colposcopy Combined with Cervical Cytology in Cervical Cancer Screening

作　　者：张晓梅 ZHANG Xiao-mei(Laigang Hospital of Jinan City,Jinan,Shandong Province,271126 China)

机构地区：[1]山东省济南市莱钢医院

出　　处：《中外医疗》2019年第26期25-27,共3页China & Foreign Medical Treatment

摘　　要：目的在宫颈癌筛查中应用阴道镜联合宫颈细胞学检查,分析应用效果。方法对象为方便选取该院门诊完成宫颈癌筛查的184例女性患者,选取时间在2016年1月—2017年8月期间,依据计算机表法将所有女性患者平均分配为对照组(92例)、观察组(92例),其中对照组实施单纯的宫颈细胞学检查,观察组同时联合阴道镜检查,记录两组患者完成检查后的阳性检出、病理类型特异性情况。结果观察组阳性检出率94.57%,对照组阳性检出率73.91%,组间比较,差异有统计学意义(χ^2=11.4664,P=0.0001<0.05)。在各种病理类型特异性比较中,对照组SCG6.52%、AIS9.78%、HSIL6.52%、LSIL21.74%、ICC15.22%、特异性58.70%,观察组SCG16.30%、AIS23.91%、HSIL17.39%、LSIL46.74%、ICC31.52%、特异性88.04%,组间比较,差异有统计学意义(χ^2=4.3541、6.5562、4.2490、12.7687、6.8283、11.5706,P=0.0369、0.0105、0.0393、0.0035、0.0090、0.0007<0.05)。结论在宫颈癌筛查中,除了应用宫颈细胞学检查外,联合应用阴道镜检查,可以进一步提高诊断结果。Objective To apply colposcopy combined with cervical cytology in cervical cancer screening to analyze the application effect.Methods A total of 184 female patients who underwent cervical cancer screening in our outpatient clinic were convenient selected.From January 2016 to August 2017,all female patients were assigned to the control group(92 cases)according to the computerized method and the observation group(92 cases),in which the control group underwent simple cervical cytology examination,the observation group was combined with colposcopy,and the positive detection and pathological type specificity of the two groups of patients after completion of the examination were recorded.Results The positive detection rate of the observation group was 94.57%,and the positive detection rate of the control group was 73.91%.The comparison between groups was(χ^2=11.466 4,P=0.000 1<0.05).Among the various pathological type specific comparisons,the control group had SCG 6.52%,AIS 9.78%,HSIL 6.52%,LSIL 21.74%,ICC 15.22%,specificity 58.70%,and observation group SCG 16.30%,AIS23.91%,HSIL 17.39%,LSIL 46.74%,ICC 31.52%,specificity 88.04%,comparison between groups,the difference was statistically significant(χ^2=4.354 1,6.556 2,4.249 0,12.768 7,6.828 3,11.570 6,P=0.036 9,0.010 5,0.039 3,0.003 5,0.009 0,0.000 7 P<0.05).Conclusion In the screening of cervical cancer,in addition to the application of cervical cytology,combined with colposcopy,can further improve the diagnosis.

关 键 词：阴道镜 宫颈细胞学 宫颈癌 筛查 

分 类 号：R5[医药卫生—内科学]