摘要
目的 探讨阴道镜Reid评分（RCI）的可行性和实用性。方法 以Reid评分为标准,对其进行改良。用5％醋酸涂宫颈后通过阴道镜观察宫颈上皮和血管变化,根据颜色改变、病变边界及血管变化分别评0～2分,取消碘试验,最后以三者之和作出阴道镜诊断,总分0分为正常或慢性宫颈炎、1～2分为CIN、3～4分为CINⅡ、5～6分CINⅢ。结果 阴道镜诊断与组织病理学结果进行对照,完全符合率是60.98％,包括相差一个级别在内者符合率96.95％。阳性率84.75％,假阳性率42.85％,假阴性率16.95％。结论 改良的阴道镜Reid评分（RCI）与组织病理学有较高的符合率,诊断低度病变存在假阳性。
Objective To investigate the feasibility and practicability of the Reid's colposcopic index ( RCI). Methods We observed the cervical epithelium and vessels change after using 5% acetic acid on the base of RCI. 0 - 2 points were given to the cervix according to the margin,color and vessels. We canceled the iodine test. Points added together were used to make the colposcopic diagnosis. 0 point suggested normal or chronic cervicitis,1-2 points suggested CIN Ⅰ,3 -4 points CIN Ⅱ,5-6 points CIN Ⅲ. Results Comparing RCI with pathological outcome, coincidence rate was 60. 98% . Including one grade deviation, the coincidence rate was 96. 95% . While the positive rate was 84. 75% , false positive rate was 42. 85% and false negative rate was 16. 95% . Conclusion RCI has a high coincidence rate with biopsy. False positive rate is a little bit high in the diagnosis of low grade malignant change.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2002年第8期495-497,共3页
Chinese Journal of Practical Gynecology and Obstetrics
