[1]王宏景.宫颈癌筛查中阴道镜检查阳性与宫颈病理诊断价值比较[J].医学信息,2021,34(15):187-189.[doi:10.3969/j.issn.1006-1959.2021.15.053]
　WANG Hong-jing.Comparison of Positive Colposcopy and Cervical Pathological Diagnosis Value in Cervical Cancer Screening[J].Medical Information,2021,34(15):187-189.[doi:10.3969/j.issn.1006-1959.2021.15.053]
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宫颈癌筛查中阴道镜检查阳性与宫颈病理诊断价值比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年15期
页码:
187-189
栏目:
诊疗技术
出版日期:
2021-08-01

文章信息/Info

Title:
Comparison of Positive Colposcopy and Cervical Pathological Diagnosis Value in Cervical Cancer Screening
文章编号:
1006-1959（2021）15-0187-03
作者:
王宏景
（镇江市丹徒区人民医院病理科，江苏 镇江 212028）
Author(s):
WANG Hong-jing
(Department of Pathology,People’s Hospital of Dantu District,Zhenjiang 212028,Jiangsu,China)
关键词:
宫颈癌; 阴道镜; 宫颈上皮内瘤变; 宫颈癌
Keywords:
Cervical cancer; Colposcopy; Cervical intraepithelial neoplasia; Cervical carcinoma
分类号:
R737.33
DOI:
10.3969/j.issn.1006-1959.2021.15.053
文献标志码:
A
摘要:
目的 比较宫颈癌筛查中阴道镜检查阳性与宫颈病理诊断结果。方法 选取2016年2月~2020年11月在我院接受筛查的50例疑似宫颈癌患者作为研究对象，均给予宫颈病理检测和阴道镜检查，以宫颈病理的检查结果为标准，比较阴道镜检查阳性与宫颈病理诊断价值。结果 以病理检查为金标准，宫颈上皮内瘤变、宫颈癌、宫颈人乳头瘤病毒感染、慢性宫颈黏膜炎、宫颈肌瘤和正常人群的符合率分别为87.50%、80.00%、66.67%，78.95%、66.67%和100.00%；阴道镜检查与宫颈病理诊断检出率比较，差异无统计学意义（P＞0.05）；以宫颈病理诊断结果为金标准，阴道镜与宫颈病理诊断的灵敏度、特异性、阳性预测值、阴性预测值比较，差异无统计学意义（P＞0.05）。结论 阴道镜检查阳性在宫颈癌筛查中具有较准确的诊断辅助宫颈病理检测的优势，具有较高的临床应用价值。
Abstract:
Objective To explore the comparison between positive colposcopy and cervical pathological diagnosis in cervical cancer screening.Methods A total of 50 patients with suspected cervical cancer who were screened in our hospital from February 2016 to November 2020 were selected.All patients were given cervical pathological examination and colposcopy. The results of cervical pathological examination were used as the standard to explore the comparison between positive colposcopy and cervical pathological diagnosis in cervical cancer screening.Results As pathological examination was the gold standard, the coincidence rates of cervical intraepithelial neoplasia, cervical cancer, cervical human papillomavirus infection, chronic cervical mucositis, cervical fibroids and normal population were 87.50%、80.00%、66.67%，78.95%、66.67%和100.00% respectively;There was no statistically significant difference in the detection rate between colposcopy and cervical pathological diagnosis (P>0.05);Taking cervical pathological diagnosis results as the gold standard, there was no statistically significant difference among the sensitivity, specificity, positive predictive value and negative predictive value of colposcopy and cervical pathological diagnosis (P>0.05).Conclusion The positive colposcopy has the advantage of more accurate diagnosis and auxiliary cervical pathological examination in cervical cancer screening, and has high clinical application value.

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更新日期/Last Update: 1900-01-01