摘要
目的探讨电子阴道镜在宫颈疾病诊断中的应用价值。方法对我院双楠门诊2010年2月～2011年1月56例宫颈疾病患者行电子阴道镜检查,并与宫颈细胞学及宫颈活组织病理学检查结果进行分析和比较。结果 56例宫颈疾病患者均行宫颈细胞学检查,20例阴道镜检查异常者行活组织病理学检查,病理学诊断为正常宫颈2例,慢性宫颈炎2例,CIN(宫颈上皮内瘤样病变)I 6例,CIN II 6例,CINⅢ2例,宫颈原位癌1例,宫颈浸润癌1例;阴道镜在诊断宫颈病变中诊断正确率为90.0%,灵敏度为80%,特异度为90.0%,假阳性率(误诊率)10.0%,阳性预测值为80%;阴道镜图像与组织病理学结果相比:宫颈湿疣符合率为50%,醋白上皮符合率71.4%,白嵌二联征符合率85.7%,白嵌点三联征及可疑宫颈癌符合率100%;宫颈疾病以25～39岁所占比例最大(46.4%)。结论电子阴道镜检查对诊断宫颈疾病,尤其对诊断CIN和宫颈癌具有重要价值,且结合组织病理学检查可提高诊断的准确率。故电子阴道镜对宫颈上皮内瘤样病变的早期诊断,早期治疗及降低宫颈癌的发生率有重要意义。
Objective Studing the value of electronic colposcopy in the diagnosis of cervical disease.Methods According to the electronic colposcopy examination of the 56 cases of cervical disease and compare with the test results of cervical cytology and cervical biopsy pathology from February 2010 to January 2011 at the Shuangnan clinic.Results The cervical cytology examination of 56 cases of cervical disease,the biopsy pathology examination of 20 cases of abnormal colposcopy,Pathological diagnosis of two cases of normal cervix,two cases of chronic cervicitis,6 cases of CIN（cervical intraepithelial neoplasia） I,6 cases of CIN II,2 cases of CIN Ⅲ,1 case of cervical carcinoma in situ and 1 case of invasive cervical cancer;The accuracy rate of the colposcopy diagnosis of cervical lesions is 90.0%,the sensitivity rate is 80%,the specificity rate is 90.0%,10.0% of the false positive rate（the rate of misdiagnosis）,the positive predictive value is 80%.Comparing the results of the Colposcopy graphics with histopathology,the matching rate of cervical condyloma was 50%,the matching rate of white vinegar epithelial is 71.4%,and the matching rate of the white inlay bivalent levy is 85.7%;Both the matching rate of the white inlay points of triad and the suspicious cervical cancer is 100%.Conclusion Electronic colposcopy has an important value in the diagnosis of cervical disease,particularly in the diagnosis of CIN and cervical cancer,combining with the histopathological examination which can improve the diagnostic accuracy.Electronic colposcopy has a big contribution for early diagnosison CIN,early treatment and reducing cervical cancer.
出处
《四川医学》
CAS
2013年第2期202-204,共3页
Sichuan Medical Journal
关键词
阴道镜
宫颈疾病
宫颈癌
colposcopy
cervical disease
cervical cancer.
