宫颈疾病诊断中采用TCT联合电子阴道镜检查的价值分析  

Value Analysis of TCT Combined with Electronic Colposcopy in Diagnosis of Cervical Diseases

作　　者：曾成璐 魏敏萍 ZENG Cheng-lu;WEI Min-ping(Department of Obstetrics and Gynecology,Lianxi District Health Promotion Center,Jiujiang City,Jiangxi Province,Jiangxi Jiujiang 332900;Department of Obstetrics and Gynecology,Lianxi District People’s Hospital,Jiujiang City,Jiangxi Province,Jiangxi Jiujiang 332900)

机构地区：[1]江西省九江市濂溪区卫生健康促进中心妇产科,江西九江332900 [2]江西省九江市濂溪区人民医院妇产科,江西九江332900

出　　处：《中国医疗器械信息》2024年第22期14-16,29,共4页China Medical Device Information

摘　　要：目的:研究宫颈疾病诊断中采用液基薄层细胞学检查(TCT)联合电子阴道镜检查的价值并予以分析。方法:选取医院2020年1月~2023年12月收治的80例疑似宫颈疾病患者开展研究。对所有患者均开展TCT、电子阴道镜及病理检查。以病理检查结果为“金标准”,分析不同检查方式诊断宫颈疾病的效能。此外,对比不同检查方式对不同宫颈病变的检出情况。结果:“金标准”共检出宫颈病变阳性59例,阴性21例。TCT共检出宫颈病变阳性60例,其中漏诊7例,误诊8例;电子阴道镜共检出宫颈病变阳性58例,其中漏诊10例,误诊9例;联合检查共检出宫颈病变阳性60例,其中漏诊1例,误诊2例。联合检查诊断宫颈病变的敏感度、特异度、准确性、阳性预测值及阴性预测值分别为98.31%、90.48%、96.25%、96.67%、86.36%,均高于TCT单独检查的88.14%、61.90%、81.25%、86.67%、65.00%与电子阴道镜单独检查的83.05%、57.14%、76.25%、84.48%、54.55%(P<0.05)。TCT联合电子阴道镜检查对宫颈癌的检出率为100.00%,高于TCT、电子阴道镜单独检查的42.86%、28.57%(P<0.05)。结论:TCT联合电子阴道镜检查可有效提高宫颈疾病诊断效能,尤其是对宫颈癌的检出率显著提升。Objective:To study and analyze the value of liquid based thin layer cytology(TCT)combined with electronic colposcopy in the diagnosis of cervical diseases.Methods:80 patients with suspected cervical diseases admitted to hospital from January 2020 to December 2023 were studied.TCT,electronic colposcopy and pathological examination were performed in all patients.The results of pathological examination were taken as the“gold standard”to analyze the efficacy of different examination methods in diagnosing cervical diseases.In addition,the detection of different cervical lesions by different examination methods was compared.Results:A total of 59 positive and 21 negative cervical lesions were detected by“gold standard”.TCT detected a total of 60 positive cervical lesions,of which 7 were missed and 8 were misdiagnosed.A total of 58 positive cervical lesions were detected by electronic colposcopy,of which 10 were missed and 9 were misdiagnosed.A total of 60 positive cervical lesions were detected by combined examination,including 1 missed diagnosis and 2 misdiagnosed.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of combined examination were 98.31%,90.48%,96.25%,96.67%and 86.36%,respectively.They were higher than 88.14%,61.90%,81.25%,86.67%,65.00%by TCT alone and 83.05%,57.14%,76.25%,84.48%,54.55%by electronic colposcopy alone(P<0.05).The detection rate of TCT combined with electronic colposcopy for cervical cancer was 100.00%,which was higher than that of TCT and electronic colposcopy alone(42.86%and 28.57%)(P<0.05).Conclusion:TCT combined with electronic colposcopy can effectively improve the diagnostic efficiency of cervical diseases,especially the detection rate of cervical cancer.

关 键 词：宫颈疾病 液基薄层细胞学检查 电子阴道镜 诊断效能 

分 类 号：R737.33[医药卫生—肿瘤]