| 阴道镜Reid评分法诊断宫颈病变的价值 |
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| 引用本文： | 陶敏芳,张文璎,李萍,薛月珍,江立珍. 阴道镜Reid评分法诊断宫颈病变的价值[J]. 中国临床医学, 2009, 16(3): 416-418 |
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| 作者姓名： | 陶敏芳 张文璎 李萍 薛月珍 江立珍 |
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| 作者单位： | 1. 上海交通大学附属第六人民医院妇产科,上海,200233
2. 上海市长宁区妇幼保健院,上海,200051 |
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| 基金项目： | 上海交通大学医工交叉课题 |
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| 摘 要： | 目的：探讨阴道镜结合Reid评分法对宫颈病变筛查的价值。方法：收集2004年1月-2006年12月行阴道镜检查和宫颈组织活检的病例867例，采用阴道镜Reid评分法分析阴道镜图像，比较Reid评分结果和宫颈活检病理结果的符合情况。结果；宫颈病理结果示宫颈炎264例，人乳头瘤状病毒（HPV）感染150例，宫颈上皮内瘤变（CIN）1级153例，CIN2级147例，CIN3级87例，宫颈癌66例。736例阴道镜图像对照Reid评分标准进行评分，其中与病理诊断相符的共557例，准确率为75．7％。宫颈癌中除宫颈表面出血或较大赘生物20例，不满意阴道镜图像4例外，其余42例Reid评分均超过3分。Reid评分法中4项指标（病变边缘、颜色、血管改变和碘试验）评分高低与病理级别高低显著相关。结论：阴道镜检查结合Reid评分法与宫颈活检病理结果一致性较高，可提高阴道镜对宫颈癌前病变诊断的准确性。
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| 关 键 词： | Reid评分 阴道镜 宫颈病变 诊断 |
The Value of Reid Colposcopic Index Combined with Colposcopy as a Diagnostic Method in Cervical Lesion |
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| TAO Minfang,ZHANG Wenyin,LI Ping,XUE Yuezhen,JIANG Lizhen. The Value of Reid Colposcopic Index Combined with Colposcopy as a Diagnostic Method in Cervical Lesion[J]. Chinese Journal Of Clinical Medicine, 2009, 16(3): 416-418 |
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| Authors: | TAO Minfang ZHANG Wenyin LI Ping XUE Yuezhen JIANG Lizhen |
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| Affiliation: | TAO Minfang1 ZHANG Wenyin2 LI Ping1 XUE Yuezhen1 JIANG Lizhen1 1.Department of Obstetrics , Gynecology,Affiliated Sixth People's Hospital,Shanghai Jiaotong University,Shanghai 200233,2.Shanghai Changnin District Maternity , Child Health Hospital,Shanghai 200051 |
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| Abstract: | Objective:To evaluation the value of Reid's colposcopic index in the diagnosis of cervical lesions.Methods:Eight hundred sixty seven cases undergoing colposcopic cervical biopsy were enrolled.The comparison between pathologic diagnosis and Reid's colpscopic index was conducted.Results:There were 264 chronic cervicitis,150 human papillomavirus infection,153 cervical intraepithelial neoplasia(CIN) 1,147 CIN2,87 CIN3 and 66 cervical cancer.According to the pathologic diagnosis,the coincidence rate of Reid's co... |
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| Keywords: | Reid colposcopic index colposcopy Cervical lesion Diagnosis |
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