摘要
目的评价电子阴道镜及Reid阴道镜评分(RCI)对子宫颈疾病的诊断价值。方法对2003-2004年妇科门诊筛查的宫颈细胞学涂片为不典型鳞状上皮细胞(ASCUS)及以上分型的247例行阴道镜检查,由阴道镜专职医师作出诊断,对其中不正常阴道镜图像行RCI,并对所有病例均进行阴道镜下取活组织病理检查及人乳头瘤病毒(HPV)的免疫组化分析。结果在247例受检对象中,不正常阴道镜图像147例,占59.5%。电子阴道镜诊断宫颈疾病(以炎症与HPV/CINⅠ为界)的灵敏度92.6%,特异度80.3%,准确度87%。对不正常阴道镜图像的RCI结果显示,P<0.01。结论电子阴道镜用于诊断宫颈疾病较准确可靠,有一定的临床应用价值,而RCI可预示宫颈病变的严重程度。
Objective To access the value of digital colposcope and RCI in diagnosis of cervical diseases. Methods A total of 247 patients with an abnormal cervical smear from gynecological out-patients from 2003 to 2004 were detected by colposcopy. And the biopsy of all patients was performed under the guidance of digital colposcope for pathological study and HPV immunohistochemical analysis. Among them, the patients with abnormal colposcopic signs were re evaluated by RCI. Results In 247 abnormal cervical smears, 147 patients （59.5 % ） were diagnosed as abnormal colposcopic signs. Comparing cervical inflammation and ≥CIN Ⅰ in this study, the sensitivity, specificity and accuracy of digital colposcope in evaluation of cervical diseases were 92.6 %, 80.3 % and 87 %. The RCI with abnormal colposcopic signs showed significant difference （P〈0.01）. Conclusion Digital colposcope can be a very accurate diagnostic method in clinical practice. The RCI can predict the severity of cervical lesions.
出处
《山西医科大学学报》
CAS
2006年第7期746-748,共3页
Journal of Shanxi Medical University
关键词
宫颈疾病
电子阴道镜
诊断
cervical diseases
colposcopy
diagnosis
