摘要
目的:探讨阴道镜检查在宫颈疾病诊断中的作用。方法:回顾性分析我院2001年1月～2004年11月因宫颈疾病而行阴道镜检查患者共1260例。宫颈疾病患者采取阴道镜检查和宫颈巴氏刮片检查,然后对结果进行分析。结果:阴道镜检查与宫颈巴氏刮片检查在假阳性率及特异性上,无显著性差异(P>0.05);阴道镜诊断的假阴性率显著低于宫颈巴氏刮片,灵敏度显著高于宫颈巴氏刮片,在统计学上有极显著性差异(P<0.01)。结论:通过三步诊断方法,可对宫颈疾病作出明确诊断,以便给予正确、早期的治疗。阴道镜在宫颈疾病的诊断中显著优于宫颈巴氏刮片,尤其在发现宫颈癌前病变和早期宫颈癌病变中有着重要作用。
Objective： To explore the value of vaginoscope in diagnosis of cervical diseases, Methods： 1 260 cases received vaginoscope examination for cervical diseases in this Hospital from Jan. 2001 to Nov. 2004. All of the cases with cervical diseases were diagnosed with vaginoscope and cervical smear. Results： There were no significant differences in accuracy and specificity between vaginoscope and cervical smear （ P 〉 0. 05 ）, but the former was more sensitive than the latter （ P 〈 0. 01 ）. Conclusion： Diagnosis of cervical diseases can be made through three steps.. Vaginoscopy with biopsy can be more benefical and better than cervical smear, especially in microinvasive carcinoma and precancerous lesions of uterine cervix.
出处
《中国妇幼保健》
CAS
北大核心
2006年第5期714-715,共2页
Maternal and Child Health Care of China
关键词
阴道镜
宫颈疾病
癌前病变
Vaginoscope
Cervical disease
Precancerous lesion
