阴道镜检查结合宫颈细胞学在宫颈病变中的应用价值

目的：探讨阴道镜检查结合宫颈细胞学在宫颈病变诊治中的临床应用价值。方法随机选在该院接收的656例行阴道镜检查结合宫颈细胞学的妇女作为研究对象，对所有对象的资料进行回顾性分析，总结患者的治疗效果。结果单纯行阴道镜检查筛查3例，无漏诊，癌前期可疑1例。单纯行新柏氏液基细胞学检测检查筛选宫颈癌4例，漏诊1例。行阴道镜检查结合新柏氏液基细胞学检测符合宫颈癌病例5例，无漏诊。结论单纯性阴道镜检查或者新柏氏液基细胞学检测宫颈癌存在漏诊情况，而结合两种方法进行检查后无漏诊现象，即结合两种方法诊断早期宫颈癌有助于提高疾病检出率，值得在临床上推广和使用。

The Application Value of Colposcopy Combined with Cervical Cytology in Cervical Lesions

Objective To investigate the clinical application value of colposcopy combined with cervical cytology in the diagnosis and treatment of cervical lesions. Methods 656 cases of women underwent colposcopy combined with cervical cytology in our hos-pital from March, 2012 to March, 2013 were randomly selected as the subjects, and the data of them were analyzed retrospectively, the treatment effect was summarized. Results A simple colposcopy screening 3 cases, no missed diagnosis, pre-cancerous suspi-cious 1 case. Simple ThinPrep liquid-based cervical cytology screening examination in 4 cases, missed 1 case. Colposcopy com-bined with ThinPrep liquid-based cervical cytology in line 5 cases, no missed case. Conclusion Missed diagnosis exists in simple colposcopy or ThinPrep liquid-based cervical cytology for detecting cervical cancer, but that does not exist if combining the two methods for detecting cervical cancer, and the diagnosis of early cervical cancer by combining the two methods is conducive to im-proving the detection rate of the disease, which is worthy of clinical popularization and application.