摘要
目的:评价液基细胞学(LCT)联合阴道镜定位活检对宫颈病变的诊断价值。方法:对460例白带增多、宫颈糜烂或性交后出血妇女分别采用LCT检查联合阴道镜活检(研究组,230例)和直接阴道镜检查活检(对照组,230例),最终均以组织学诊断为金标准,对比两组组织学诊断阳性符合率。结果:研究组组织学诊断阳性符合率为78.3%(180/230);对照组为52.2%(120/230),两组诊断符合率比较差异有显著性(χ2=33.41,P<0.01)。结论:采用LCT联合阴道镜检查活检能显著提高宫颈病变的阳性检出率,为治疗和预防宫颈癌提供有效的依据。
Objective： To evaluate the diagnostic value of the usage of colposcopy and liquid - based cytology （LCT） in the early detection of cervical lesions. Methods： A retrospective data of 460 cases （with leukorrha-gia, cervical erosion,cervical contactive bieeding） with cervical lesions diagnosed by a combination of colposcopy and LCT was analyzed by reference to the gold standard of histopathology. Results： Among the 460 cases, the accuracies of the diagnoses were 78.3% （180/230）in research group, and 52.5% （120/230）in control group. There were significant decreased in two groups （X^2 = 33.41, P 〈 0.01 ）. Conclusions： The combination usage of LCT and colposcopy is a highly sensitive application to both early diagnosis of cervical condyloma. It can deliver effective reference for preventing and curing cervical carcinoma.
出处
《中国民康医学》
2006年第14期490-491,共2页
Medical Journal of Chinese People’s Health
