TCT和阴道镜活检在宫颈病变诊断中的价值分析  

Analysis of the value of colposcopic biopsy and TCT in the clinical diagnosis of cervical lesions

作　　者：付芳芳 FU Fang-fang(Panjin Maternal and Child Health Hospital,Panjin 124000,China)

机构地区：[1]辽宁省盘锦市妇幼保健院,124000

出　　处：《中国实用医药》2021年第28期40-42,共3页China Practical Medicine

摘　　要：目的 分析在宫颈病变临床诊断中实施阴道镜活检和液基薄层细胞学检查(TCT)的效果。方法 400例行宫颈癌筛查的宫颈病变患者,根据诊断方法不同分为实验组和对照组,每组200例。实验组采用阴道镜活检,对照组采用TCT。比较两组患者疾病检出情况;以手术后病理诊断结果为金标准,比较两组患者诊断准确率、漏诊率和误诊率。结果 实验组患者疾病检出率为95.00%,高于对照组的85.00%,差异具有统计学意义(P<0.05)。以手术后病理诊断结果为金标准,实验组患者诊断准确率90.50%高于对照组的70.00%,漏诊率5.00%、误诊率4.50%低于对照组的15.00%、15.00%,差异具有统计学意义(P<0.05)。结论 阴道镜活检是使用阴道镜数字成像系统的一种检查方法 ,可以更加精准、详细的对宫颈病变患者进行检查,有效判断患者病情,准确率较高,建议临床推广应用。Objective To analyze the effect of colposcopic biopsy and thinprep cytology test(TCT)in the clinical diagnosis of cervical lesions.Methods A total of 400 patients with cervical lesions undergoing cervical cancer screening were divided into experimental group and control group according to different diagnostic methods,with 200 cases in each group.Colposcopic biopsy was used in the experimental group and TCT was used in the control group.The disease detection of the two groups were compared.The postoperative pathological diagnosis results were used as the gold standard to compare the diagnosis accuracy,missed diagnosis rate and misdiagnosis rate of the two groups.Results The disease detection rate of patients in the experimental group was 95.00%,which was higher than 85.00%in the control group,and the difference was statistically significant(P<0.05).Taking the postoperative pathological diagnosis result as the gold standard,the diagnostic accuracy rate 90.50%of the experimental group was higher than 70.00%of the control group,and the missed diagnosis rate 5.00%and misdiagnosis rate 4.50%were lower than 15.00%and 15.00%of the control group.All the differences were statistically significant(P<0.05).Conclusion Colposcopy biopsy is an examination method using digital imaging system of colposcopy,which can examine patients with cervical lesions more accurately and in detail,and effectively judge the patient’s condition with high accuracy.It is recommended for clinical promotion and application.

关 键 词：宫颈病变 阴道镜活检 液基薄层细胞学检查 漏诊率 

分 类 号：R737.33[医药卫生—肿瘤]