阴道镜对宫颈疾病诊断的临床价值  

A Clinical Evaluation of Vaginoscope for Cervical Diseases Diagnosis

作　　者：劳金美[1] 杜志坚[1] 谭玉红[1] 

机构地区：[1]珠海市妇幼保健院,中国广东珠海519000

出　　处：《实用预防医学》2003年第3期391-392,共2页Practical Preventive Medicine

摘　　要：目的　寻求早期发现宫颈癌前病变和早期宫颈癌的检查方法。　方法　对 1 91 5例宫颈疾病患者采取阴道镜检查和活检及巴氏刮片 ,然后对其结果进行分析。　结果　本研究发现阴道镜与宫颈巴氏刮片在假阳性率 ,特异度上在统计学上无显著性差异 (P>0 .0 5) ,阴道镜对宫颈疾病诊断的假阴性率显著地低于宫颈巴氏刮片 ,灵敏度显著地高于宫颈巴氏刮片 ,在统计学上有极显著意义 (P<0 .0 1 )。　结论　阴道镜在宫颈疾病的诊断中显著地优于宫颈巴氏刮片 。Objective To evaluate the feasibility of using vaginoscope examination for cervical diseases diagnosis. Methods A total of 1915 cases with cervical diseases were diagnosed with vaginoscope and cervical smear. Result There were no significant differences in accuracy and specificity between vaginoscope examination and cervical smear(P>0.05), but the former was more sensitive than the latter(P<0.01). Conclusion Vaginoscope is better than cervical smear in cervical diseases diagnosis, especially in microinvasive carsinoma and precancerous lesions of uterine cervix.

关 键 词：阴道镜 宫颈疾病 癌前病变 

分 类 号：R711[医药卫生—妇产科学]