摘要
目的:探索阴道镜直视宫颈多点活检较传统宫颈活检在宫颈疾病的诊断价值和临床应用。方法:选取90例入院治疗的宫颈疾病患者,随机分为观察组和对照组。观察组采用阴道镜进行宫颈多点活检,对照组按照常规法进行宫颈活检。所有患者入院当天检查并记录心率、血压、体温、肝功能、肾功能等基本项目。以宫颈锥切术病理检查结果作为诊断标准,比较两种检查方式的阳性诊断率及漏诊率、病理检查与阴道镜宫颈活检的检出率以及阴道镜直视宫颈活检在各类型宫颈疾病中的阳性诊断率。结果:对照组宫颈疾病检出率明显低于观察组,而对照组宫颈炎的检出率略高于观察组,其他宫颈疾病尤其两组CIN1、CIN2、CIN3以及浸润癌的检出率均低于观察组,而误诊率高于观察组,差异具有统计学意义(P<0.01);除宫颈炎外,观察组阳性率均明显高于对照组,差异具有统计学意义(P<0.05)。结论:与传统宫颈活检相比,阴道镜直视宫颈多点活检可提高宫颈类疾病的诊断率,降低误诊率,有助于患者及早发现并治疗,对宫颈类疾病的诊断具有重大价值。
Objective：To study the diagnostic value of cervical multiple biopsy under colposcopy compared with routine cervical biopsy in the diagnosis of cervical lesions.Method：Selected 90 patients with cervical lesions,and divided into observation group and control group.All the patients take detection of heart rate and blood pressure,blood routine,liver function,temperature on the day in hospital.Regard the cervical conization pathology results as the standard of diagnosis,compare positive rate,missed diagnosis rate,diagnosis rate between pathological examination and cervical multiple biopsy under colposcopy of the two inspection methods.Results：Cervical disease detection rate of patients in the observation group was 89.3%,while the detection rate of patients in the control group was just 68.9%,significantly lower than that of the observation group.Cervicitis rate of patients in control groups was slightly higher in the observation group,the diagnosis rate of other cervical disease group were lower than those of observation group.In particular,there were significant difference of detection rate between patients with CIN1,CIN2,CIN3 and invasive cancer in two groups,while the misdiagnosis rate is much higher than the observation group（P〈0.01）.Moreover,in addition to cervicitis,positive rate of patients in observation group were obviously higher than that in control group（P〈0.05）.Conclusion：Compared with the routine cervical biopsy,cervical multiple biopsy under colposcopy can greatly improve the diagnosis rate of cervical diseases,and reduce the misdiagnosis rate,to help patients with early detection and treatment.It is of great value in diagnosis of cervical diseases.
出处
《海南医学院学报》
CAS
2015年第1期93-95,98,共4页
Journal of Hainan Medical University
基金
首都医学发展科研基金(2009-3217)~~
关键词
宫颈多点活检
阴道镜
宫颈疾病
Cervical multiple biopsy
Colposcopy
Cervical lesions
