目的 :评价阴道镜对CCB诊断价值。方法 :对 182例CCB患者阴道镜、宫颈细胞学、阴道镜定位下活检病理学检查结果对照分析。结果 :细胞学检查假阳性率 34 .7%、假阴性率 43.2 % ,阴道镜检查假阳性 7.1%、假阴性率 6 .5 % ;细胞学与阴道镜检查比较 ,假阳性、假阴性出现率差异有显著性 (P <0 .0 5 )。阴道镜与病理学检查结果符合率为 91.2 % ,两者阳性率差异无显著性 (P >0 .0 5 )。结论 :阴道镜检查能初步判断CCB的病因学 ,但仍不能取代细胞学检查及病理活检 Objective: To evaluate the value of colposcopy in the diagnosis of CCB. Methods: The biopsy results of colposcopy, cervical cytology and colposcopy in 182 patients with CCB were compared. Results: The cytological false positive rate was 34.7%, the false negative rate was 43.2%, the colposcopy false positive rate was 7.1% and the false negative rate rate was 6.5%. Compared with colposcopy, the false positive rate and false negative rate The difference was significant (P <0.05). The coincidence rate of colposcopy and pathological examination was 91.2%, there was no significant difference between the two (P> 0.05). Conclusion: Colposcopy can initially determine the etiology of CCB, but still can not replace the cytology and biopsy