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目的探讨阴道镜Reid评分(RCI)在宫颈病变早期诊断中的可行性和实用性。方法对在妇科门诊筛查的宫颈细胞学涂片为非典型鳞状上皮细胞ASCUS及以上或HPV(+)116例,在影视阴道镜的动态观察下,分别涂3%醋酸及复方碘溶液后,对宫颈上皮和血管的改变,运用RCI评分,作出阴道镜诊断并取活检,以病理诊断作为金标准。结果采用RCI评分标准与组织病理结果的完全符合率为76·64%,包括相差一个级别在内者符合率为94·16%。结论RCI评分法对诊断CIN有较高的应用价值,是规范而客观评估阴道镜图像的必要条件。
Objective To investigate the feasibility and practicability of colposcopy Reid score (RCI) in the early diagnosis of cervical lesions. Methods Cervical cytology smears in gynecological clinics were ASCUS and atypical squamous epithelial cells or 116 cases of HPV (+). After dynamic observation of colposcopy, 3% acetic acid and compound iodine solution , Cervical epithelium and vascular changes, the use of RCI score, make a colposcopy diagnosis and take biopsy, the pathological diagnosis as the gold standard. Results The complete coincidence rate of RCI and histopathological results was 76.64%, including 94.16% coincidence rate of one grade. Conclusion The RCI score has a high value in the diagnosis of CIN, which is a necessary condition for standardized and objective evaluation of colposcopy images.