摘要
目的:分析阴道镜下宫颈活检在宫颈病变患者中的临床应用价值。方法:纳入2019年1月-2020年4月山东省枣庄市山亭区山城街道社区卫生服务中心接收的临床宫颈病变患者共100例,对所有患者均执行阴道镜下宫颈活检工作,同时将宫颈锥切的诊断结果作为金标准,对阴道镜下宫颈活检的结果予以针对性分析以及研究。结果:100例宫颈病变患者中,经宫颈锥切确诊为宫颈上皮内瘤样病变的患者为72.00%(72/100),其中宫颈上皮内瘤样病变一级患者为29.00%(29/100),经宫颈锥切宫颈上皮内瘤样病变二级患者为27.00%(27/100),宫颈上皮内瘤样病变三级患者为16.00%(16/100),宫颈炎患者为28.00%(28/100)。根据所有患者的阴道镜下宫颈活检诊断结果统计得出,参与本次研究的宫颈病变患者共100例,被诊断为宫颈上皮内瘤样病变的患者为70.00%(70/100),其中被诊断为宫颈上皮内瘤样病变一级患者为30.00%(30/100),宫颈上皮内瘤样病变二级患者为25.00%(25/100),宫颈上皮内瘤样病变三级患者为15.00%(15/100),宫颈炎患者为30.00%(30/100)。阴道镜下宫颈活检宫颈上皮内瘤样病变一级诊断符合率为96.67%,宫颈上皮内瘤样病变二级诊断符合率为92.59%,宫颈上皮内瘤样病变三级诊断符合率为93.75%,宫颈炎诊断符合率为93.33%,两种检测方法一致性较好(kappa=0.79)。结论:针对疑似宫颈病变的患者执行阴道镜下宫颈活检可以获得较高的准确率,尤其是针对宫颈癌的早期诊断工作,阴道镜下宫颈活检能够为宫颈癌的筛查予以较高稳定性保障。
Objective:To analyze the clinical application value of cervical biopsy under colposcopy in the patients with cervicallesions.Methods:From January 2019 to April 2020,a total of 100 patients with clinical cervical lesions received by ShanchengSubdistrict Community Health Service Center of Shanting District of Zaozhuang City were included.Cervical biopsy undercolposcopy was performed on all patients,and the diagnosis result of cervical conization was used as the gold standard.The resultsof cervical biopsy under colposcopy were analyzed and studied in a targeted manner.Results:Among the 100 patients withcervical lesions,72.00%(72/100) of patients were diagnosed with cervical intraepithelial neoplasia,of which 29.00%(29/100)were cervical intraepithelial neoplasia grade Ⅰ patients,27.00%(27/100) were cervical intraepithelial neoplasia grade Ⅱpatients,16.00%(16/100) were cervical intraepithelial neoplasia grade Ⅲ patients,and 28.00%(28/100) were patients withcervicitis.According to the statistics of the diagnosis results of cervical biopsy under colposcopy of all patients,100 patients withcervical lesions participated in this study,70.00%(70/100) of patients were diagnosed with cervical intraepithelial neoplasia,ofwhich 30.00%(30/100) were cervical intraepithelial neoplasia grade Ⅰ patients,25.00%(25/100) were cervical intraepithelialneoplasia grade Ⅱ patients,15.00%(15/100) were cervical intraepithelial neoplasia grade III patients,and 30.00%(30/100) werepatients with cervicitis.Using cervical biopsy under colposcopy,the diagnosis coincidence rate of cervical intraepithelialneoplasia grade Ⅰ was 96.67%,the diagnosis coincidence rate of cervical intraepithelial neoplasia grade Ⅱ was 92.59%,thediagnosis coincidence rate of cervical intraepithelial neoplasia grade Ⅲ was 93.75%,and the diagnosis coincidence rate ofcervicitis was 93.33%.The consistency between the two detection methods was good(kappa=0.79).Conclusion:Performingcervical biopsy under colposcopy for patients with suspected cervical lesions can get a higher accuracy rate,especially for theearly diagnosis of cervical cancer,cervical biopsy under colposcopy can provide higher stability guarantee for cervical cancerscreening.
作者
庄桂芳
Zhuang Gui-fang(Department of Obstetrics and Gynecology,Shancheng Subdistrict Community Health Service Center of Shanting District of Zaozhuang,Zaozhuang 277299,Shandong Province,China)
出处
《中国社区医师》
2022年第15期120-122,共3页
Chinese Community Doctors
关键词
阴道镜
宫颈活检
宫颈病变
Colposcopy
Cervical biopsy
Cervical lesion
