阴道镜检查对宫颈湿疣的诊断价值

[目的] 探讨阴道镜检查对诊断宫颈湿疣的价值。[方法] 采用阴道镜观察128例外阴尖锐湿疣患者的宫颈情况，并与病理检查结果进行比较。[结果] 128例外阴尖锐湿疣患者中，病理诊断为宫颈湿疣的有67例（占52.3%）。阴道镜诊断宫颈湿疣的灵敏度为92.5%，特异度为88.5%；假阴性率为7.5%，假阳性率为11.5%，正确率为90.6%；阳性预测值为89.9%，阴性预测值为91.5%；约登指数为0.8。[结论] 阴道镜检查是诊断宫颈湿疣的一种方便、实用、无创伤、检出率高的较好方法。阴道镜检查能够早期发现宫颈湿疣，是预防宫颈癌及癌前病变的重要措施。

Significance of colposcopy in the diagnosis of condyloma avuminatum

[ Objective ] To study the value of colposcopy for the diagnosis of condyloma acuminatum. [Methods] To examine 128 cases of vulvar condyloma with colposcopy and make comparisons with the results of histopathologic tests. [ Results] There were 67 cases of condyloma lesions found in cervix in histopathologic tests. In detection of condyloma acuminattum with colposcopy, the sensitivity was 92.5%, specificity 88.5%, false negative rate 7.5%, false positive rate 11.5%, accuracy rate 90.6%, positive predictive value 89.9%, negative predictive value 91.5%, Youden index was 0.8. [ Conclusion] Colposcopy for diagnosis of condyloma is a new morphologic technique, convenient, practical, scatheless and highly effective. Cervical condyloma acuminatum can be early detected with colposcopy, which is imoortant for orevention of cervical cancer and nrecancerous lesions.