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阴道镜和宫颈液基细胞学检查在诊断宫颈早期病变中的比较
引用本文:李晓兰,秦彩蓉,田葵珍.阴道镜和宫颈液基细胞学检查在诊断宫颈早期病变中的比较[J].中国妇产科临床杂志,2007,8(5):343-345.
作者姓名:李晓兰  秦彩蓉  田葵珍
作者单位:湖北省长阳县妇幼保健院妇产科,443500
摘    要:目的 评价阴道镜检查和宫颈液基细胞学检查对宫颈早期病变的诊断价值。方法 对379例经阴道镜检查并经病理学确诊病例进行回顾性分析.将阴道镜检查结果、宫颈刮片、组织病理学检查结果进行对比研究。结果 379例检出宫颈上皮内瘤变(CIN)35例,宫颈鳞癌11例;阴道镜检出了95.25%宫颈病变.宫颈涂片检出了89.18%宫颈病变,细胞学与阴道镜下活检联合应用无漏诊。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。

关 键 词:阴道镜  细胞学  宫颈上皮内瘤变
修稿时间:2006-08-25

Evaluation of colposcopy and TCT in the diagnosis of early cervical lesion
LI Xiaolan,QIN Cairong,TIAN Kuizhen.Evaluation of colposcopy and TCT in the diagnosis of early cervical lesion[J].Chinese Journal of Clinical Obstetrics and Gynecology,2007,8(5):343-345.
Authors:LI Xiaolan  QIN Cairong  TIAN Kuizhen
Institution:Department of obstetric and Gynecology, Hubei Changyang Maternal and Child Health Institute, Changyang 443500, China
Abstract:Objective To evaluate digital colposcopy and TCT in the diagnosis of early cervical lesions.Methods A retrospective review was conducted on the clinical records of 379 cases,including data of cervical cytology,digital colposcopy and pathology.Results Among the 379 cases,35 cases were diagnoses as cervical intraepithelial neoplasia(CIN) and 11 cases squamous carcinoma1.The accuracies of the diagnosis were 89.18% by cytology,and 95.25% by digital colposcopy.No case was missed diagnosis by the combination of cytology and colposcopy.Conclusion Colposcopy and TCT are of high value in diagnosis of early cervical lesions.
Keywords:colposcopy  cytology  cervical intraepithelial neoplasia
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