研究宫颈癌活检病理与术后石蜡病理两种诊断方法的价值  

Study on the Value of Two Diagnostic Methods of Cervical Cancer Biopsy Pathology and Postoperative Paraffin Pathology

作　　者：汪积瀛 王若白 WANG Jiying;WANG Ruobai(Qiqihar First Factory Hospital,Qiqihar,Heilongjiang Province,161000 China;The Third Hospital Affiliated to Qiqihar Medical College,Qiqihar,Heilongjiang Province,161000 China)

机构地区：[1]齐齐哈尔一厂医院,黑龙江齐齐哈尔161000 [2]齐齐哈尔医学院附属第三医院,黑龙江齐齐哈尔161000

出　　处：《系统医学》2022年第21期46-49,共4页Systems Medicine

基　　金：齐齐哈尔市科学技术计划项目(2020268)。

摘　　要：目的 探讨活检病理、术后石蜡病理检查应用于宫颈癌临床诊断工作中的具体价值。方法 选取2019年10月—2021年12月齐齐哈尔一厂医院收治的87例疑似宫颈癌患者作为研究对象,所有患者均实施病理检查、术后石蜡病理检查。以临床综合诊断结果为金标准,记录并对比两种检查结果,分析两种检查对宫颈癌诊断敏感度、特异度、符合率。结果 87例疑似宫颈癌患者活检病理检查阳性检出率(58.62%)低于术后石蜡病理检查阳性检出率(73.56%),差异有统计学意义(χ^(2)=4.334,P=0.037);87例疑似宫颈癌患者中临床综合诊断阳性率为75.86%(66/87),术后石蜡病理检查对宫颈癌诊断敏感度为95.45%、特异度为95.24%、符合率为95.40%,高于活检病理检查的68.18%、71.43%、68.97%,差异有统计学意义(P<0.05)。结论 术后石蜡病理检查宫颈癌的敏感性、特异性、符合率均较高。Objective To explore the specific value of biopsy pathology and postoperative paraffin pathology examination applied to the clinical diagnostic work of cervical cancer. Methods 87 patients with suspected cervical cancer admitted to Qiqihar First Factory Hospital from October 2019 to December 2021 were selected as the study subjects.Pathological examination and postoperative paraffin pathological examination were performed in all patients. Take the clinical comprehensive diagnosis results as the gold standard, the results of the two examinations were recorded and compared, and the sensitivity, specificity and compliance rate of the two examinations for the diagnosis of cervical cancer were calculated. Results The positive rate of biopsy pathology in 87 patients with suspected cervical cancer(58.62%) was lower than that of paraffin pathology(73.56%), the difference was statistically significant(χ^(2)=4.334, P=0.037). The positive rate of clinical comprehensive diagnosis in 87 patients with suspected cervical cancer was 75.86%(66/87), postoperative paraffin pathological sensitivity of cervical cancer was 95.45%, specificity was 95.24%,and compliance rate was 95.40%, which was higher than 68.18%, 71.43% and 68.97% of biopsy pathological examination, the difference was statistically significant(P<0.05). Conclusion The sensitivity, specificity and coincidence rate of postoperative paraffin pathological examination for cervical cancer were high.

关 键 词：宫颈癌 术前活检病理检查 术后石蜡病理检查 诊断价值 

分 类 号：R446[医药卫生—诊断学]