| Reid＇s阴道镜评分对宫颈病变的诊断价值 |
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| 引用本文： | 程艳香,江敬红,蒋丽,谢秋容,吴秀枝,洛若愚,张蔚,鲍燕.Reid＇s阴道镜评分对宫颈病变的诊断价值[J].中华全科医师杂志,2009,8(11):829-830. |
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| 作者姓名： | 程艳香 江敬红 蒋丽 谢秋容 吴秀枝 洛若愚 张蔚 鲍燕 |
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| 作者单位： | 武汉大学人民医院妇产科,430060 |
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| 摘 要： | 探讨Reid’s阴道镜评分（RCI评分）在宫颈疾病诊断中的价值，以规范阴道镜指导下活检。回顾性比较分析接受RCI评分及阴道镜活检的899例宫颈疾病患者的临床资料，RCI分值与宫颈病变严重程度呈正相关（F=2.043，P=0.03）；对炎性、宫颈上皮内瘤变（CIN）I诊断的特异性分别为98.8％和95.7％；对CINⅡ、CINⅢ诊断的灵敏性为77.7％和70.0％，阴性预测值96.8％和97.4％。提示RCI评分可以提高阴道镜检查的诊断价值。
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| 关 键 词： | 宫颈疾病 阴道镜检查 |
The diagnostic value of Reid's coloposcompic index in uterine cervical diseases |
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| CHENG Yan-xiang,JIANG Jing-hong,JIANG Li,XIE Qiu-rong,WU Xiu-zhi,LUO Ruo-yu,ZHANG Wei,BAO Yan.The diagnostic value of Reid's coloposcompic index in uterine cervical diseases[J].Chinese JOurnal of General Practitioners,2009,8(11):829-830. |
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| Authors: | CHENG Yan-xiang JIANG Jing-hong JIANG Li XIE Qiu-rong WU Xiu-zhi LUO Ruo-yu ZHANG Wei BAO Yan |
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| Institution: | (Department of Gynecology and Obstetric, Renmin Hospital, Wuhan University ,430060 , China) |
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| Abstract: | Clinical data of 899 patients,who received colposcopic examination,were retrospectively analyzed.Both Reid's colposcopic index(RCI)score and biopsy were performed.The study showed that the value of RCI score was positively related to the severity of cervical lesions(F=2.043,P=0.03).The specificity of RCI for cervicitis,cervical intraepithelial neoplasia(CIN)Ⅰ were 98.8%,95.7% respectively;while sensitivity and negative predictive value for CIN Ⅱ,CIN Ⅲ were 77.7%,70.0%and 96.8%.97.4%,respectively.So RCI scoring can increase the diagnostic value of colposcope. |
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| Keywords: | Uterine cervical disease Colposcopy |
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