摘要
目的：探讨VIA—VILI肉眼观察法用于贫困山区宫颈病变诊断中的临床价值。方法：对2007年7月至2009年1月在怀化市第三人民医院就诊的11200名就诊患者中进行醋酸肉眼观察法VIA5600名及复方碘染色肉眼观察法VILI5600名，对发现异常的患者进行阴道镜病理检查。结果：5600名肉眼观察患者中检出VIA阳性者291例（5．19％），其中，180例阴道镜病理检查为CINⅡ者20例，CINⅢ级或以上者8例，VILI阳性者281例（5．01％），其中177名阴道镜病理检查为CINⅡ级者19例，CIN Ⅱ级者或以上者8例，发现VIA对CINII和CINⅢ级以上的检测敏感度为79％-83％．VILI的敏感度为85％和84％．结论：VIA VILI肉眼观察法适用于筛查和诊断子宫颈癌前病变的可靠手段，因此特别是对经济欠发达地区，往往没有细胞学诊断的医生，缺乏薄层液基细胞学和HPV检测的设备和技术。综合考虑设备需求和经济条件等原因，VIA和VILI是简单，便宜，技术含量低的筛查方法①。
objective .To investigate the value by V1A-VILI in diagnosis of cervical disease in poor area women. Methods from 2007 to 2009 , 11200 women who receive examination by VIA-VILI. If abnormal cgtogical results were found, those women were administered by colposcopit examination and biopsy after the signed informed consent.Results： I.VIA： the abnormal results of 291 （5.19%） women were found in 5600 cases. VILI： the abnormal results of 281 （5.01%） women were found in 5600 cases. The results of biopsy guided by col- poscopy ： VIA： among 280 cases it was found 20 cases with CINII. 8 cases with CINIII and scc. VILI： among 177 cases, it was found 19 cases with CINⅡ, 8 cases with CINⅢ and scc. The rate of concordance in examination CIN Ⅱ, CIN Ⅲ and sec by VIA was 79%,83%,VILI was 85% ,84%.Condusions ： VIA-VILI to apply and cervical cancer initial diagnosis and reliable means of the disease, particularly on the economy developed areas, owing to not caryologia diagnosis, the lack of a thin layer of the base caryologia and hpv detection equipment and technical equipment, integrated consider demand and economic conditions, VIA-VILI is simple and cheap, low-technical initial test method
