多重方法联合诊断宫颈病变的临床研究  

Clinical study on multiple methods to diagnose cervical lesions

作　　者：刘保兰[1] 李力[2] 郑英如[2] 

机构地区：[1]中国人民解放军第322医院,037006 [2]第三军医大学大坪医院

出　　处：《山西医药杂志》2004年第2期105-107,共3页Shanxi Medical Journal

摘　　要：目的　探讨宫颈刮片阴道镜及镜下活检在宫颈上皮瘤样病变及宫颈早期浸润癌中的诊断价值。方法　对 345例疑有宫颈病变的妇女常规行宫颈刮片阴道镜及镜下活检。结果　宫颈刮片在宫颈上皮瘤样病变及宫颈早期浸润癌的阳性检出率 17.4 3% ,阴道镜拟诊阳性率 96 .33% ,假阳性率 4 6 .4 1%。结论　阴道镜检查可作为防治宫颈癌的初筛工具 ,优于阴道宫颈脱落细胞学检查 ,为了避免宫颈刮片的假阴性、阴道镜检的假阳性、宫颈活检的盲目性 ,应将宫颈刮片细胞学检查、阴道镜检查及病理学检查有机地结合 ,在宫颈上皮瘤样病变及宫颈早期浸润癌的诊断中有极其重要的价值。Objective To investigate the diagnostic value of cervical scraping smear,colposcopy and biopsy to cervix lesion.Methods Three hundred and forty five women with cervix erosion were investigated by cervical scraping smear,colposcopy and biopsy.Results The positive rate of cervical intraepithelial neoplasm (CIN) and cervical carcinoma by cervical scraping smear was 17.43%,and was 96.33% by colposcopy.Conclusion Colposcopy can be used as a first screening test for cervical cancer,superior to cervical smearing;nevertheless to avoid its false positivity,and the false negativity of cervical smearing,as well as any blindness of cervical biopsy,the author suggest that combining the three methods of colposcopy,smearing and biopsy have great value to the diagnosis of epithelial neoplastic lesion and early cervical infiltrating carcinoma.

关 键 词：联合诊断 宫颈病变 宫颈刮片 阴道镜 宫颈癌 

分 类 号：R711.74[医药卫生—妇产科学]