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目的评价电子阴道镜在宫颈病变早期诊断中的应用价值。方法回顾性分析经阴道镜检查并经病理学确诊病例757例,将阴道镜检查结果与宫颈刮片及组织病理学检查结果进行对比研究。结果757例中检出宫颈上皮内瘤变(CIN)53例、宫颈鳞癌40例,共占12.35%。宫颈刮片与阴道镜检查诊断假阴性率分别为63.44%及12.90%;诊断灵敏度分别为19.35%及83.87%,两者经卡方检验均有统计学显著性差异(P<0.05)。结论阴道镜对宫颈疾病诊断尤其在宫颈癌前病变和早期宫颈癌的诊断中有着非常高的应用价值。
Objective To evaluate the value of electronic colposcopy in the early diagnosis of cervical lesions. Methods A retrospective analysis of colposcopy and pathologically diagnosed cases of 757 cases, colposcopy results and cervical smears and histopathological examination results were compared. Results In 757 cases, 53 cases of cervical intraepithelial neoplasia (CIN) and 40 cases of cervical squamous cell carcinoma were detected, accounting for 12.35%. The false negative rates of cervical smears and colposcopy were 63.44% and 12.90%, respectively. The diagnostic sensitivity was 19.35% and 83.87% respectively. There was a significant difference between the two groups (P <0.05) by chi square test. Conclusion colposcopy diagnosis of cervical disease, especially in the diagnosis of cervical precancerous lesions and early cervical cancer has a very high value.