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目的探讨电子阴道镜在宫颈病变诊断中的价值。方法对2001年1月2006年12月786例宫颈病变患者的阴道镜下行病检结果和巴氏刮片细胞学诊断结果进行对比性研究。结果慢性宫颈炎、宫颈上皮内瘤样病变和宫颈癌在阴道镜下图像均呈多样性;阴道镜诊断宫颈癌前病变及宫颈癌的正确率、灵敏度及特异度均高于宫颈巴氏刮片,差异有统计学意义(P<0.05)。结论阴道镜操作灵活简便,在宫颈病变的诊断中有较大价值,其图像管理系统更有利于宫颈病变的动态观察和随访。
Objective To investigate the value of electronic colposcopy in the diagnosis of cervical lesions. Methods A retrospective study of colposcopic biopsy and Pap smear cytology in 786 cervical lesions in January 2001 and December 2006 was performed. Results Chronic cervicitis, cervical intraepithelial neoplasia and cervical cancer under colposcopy showed a diversity of images; colposcopy diagnosis of cervical precancerous lesions and cervical cancer, the correct rate, sensitivity and specificity were higher than those of cervical Pap smear , The difference was statistically significant (P <0.05). Conclusion colposcopy is flexible and easy to operate and has great value in the diagnosis of cervical lesions. The image management system is more conducive to the dynamic observation and follow-up of cervical lesions.