阴道镜对宫颈疾病诊断的临床意义

目的:探讨阴道镜检查在宫颈疾病诊断中的作用。方法:回顾性分析我院2001年1月～2004年11月因宫颈疾病而行阴道镜检查患者共1260例。宫颈疾病患者采取阴道镜检查和宫颈巴氏刮片检查,然后对结果进行分析。结果:阴道镜检查与宫颈巴氏刮片检查在假阳性率及特异性上,无显著性差异(P>0.05);阴道镜诊断的假阴性率显著低于宫颈巴氏刮片,灵敏度显著高于宫颈巴氏刮片,在统计学上有极显著性差异(P<0.01)。结论:通过三步诊断方法,可对宫颈疾病作出明确诊断,以便给予正确、早期的治疗。阴道镜在宫颈疾病的诊断中显著优于宫颈巴氏刮片,尤其在发现宫颈癌前病变和早期宫颈癌病变中有着重要作用。

Clinical significance of vaginoscope in diagnosis of cervical diseases

Objective:To explore the value of vaginoscope in diagnosis of cervical diseases.Methods: 1 260 cases received vaginoscope examination for cervical diseases in this Hospital from Jan. 2001 to Nov. 2004.All of the cases with cervical diseases were diagnosed with vaginoscope and cervical smear.Results:There were no significant differences in accuracy and specificity between vaginoscope and cervical smear (P>0.05), but the former was more sensitive than the latter (P<0.01) .Conclusion:Diagnosis of cervical diseases can be made through three steps..Vaginoscopy with biopsy can be more benefical and better than cervical smear,especially in microinvasive carcinoma and precancerous lesions of uterine cervix.