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目的:分析各类检查方法在宫颈上皮内瘤变诊断中的作用,探讨在经济中度发展城市进行宫颈癌筛查最切实可行的方法。方法:采用流行病学方法对800例宫颈上皮内瘤变患者进行回顾性分析,通过术后病理分析明确各种检查方法的利弊。结果:阴道镜诊断符合率为90.45%,液基细胞学为83.46%,阴道镜结合液基细胞学为99.10%。结论:液基细胞学简便,易于操作,可减少交叉感染;但宫颈细胞学的结果不能做为临床诊断结果,仅为临床诊断的一个参考因素。阴道镜与液基细胞学的互补作用可以提高宫颈上皮内瘤变的检出率。
OBJECTIVE: To analyze the role of various examination methods in the diagnosis of cervical intraepithelial neoplasia and to explore the most feasible and feasible method for screening cervical cancer in economically moderately developed cities. Methods: A retrospective analysis of 800 cases of cervical intraepithelial neoplasia by epidemiological method, the advantages and disadvantages of various methods of examination were determined by postoperative pathological analysis. Results: The coincidence rate of colposcopy diagnosis was 90.45%, liquid-based cytology was 83.46%, colposcopy-combined liquid-based cytology was 99.10%. Conclusion: Liquid-based cytology is simple and easy to operate, which can reduce cross-infection. However, the results of cervical cytology can not be used as a clinical diagnosis, which is only a reference factor for clinical diagnosis. Colposcopy and liquid-based cytology complement can improve the detection rate of cervical intraepithelial neoplasia.