论文部分内容阅读
目的:探讨宫颈刮片细胞学检查联合阴道镜检查在筛查宫颈癌中的临床应用价值。方法:选取2013年5月-2014年4月收治的982例宫颈病变患者为观察对象,所有患者均采取宫颈刮片细胞学检查和阴道镜检查,将病理学检查结果作为标准,分析宫颈刮片细胞学检查联合阴道镜检查准确率、单纯宫颈刮片细胞学检查准确率、单纯阴道镜检查准确率之间的差异性。结果:联合检查的结果显示940例患者诊断为宫颈炎症、40例患者诊断为癌前轻重度病变、2例患者诊断为宫颈癌,与病理学诊断情况相比较,P>0.05,差异不具有显著性;联合检查准确率为37.68%,单纯阴道镜检查准确率为29.63%,单纯宫颈刮片细胞学检查准确率为29.89%,经统计学分析,P<0.05,宫颈刮片细胞学检查联合阴道镜检查准确率具有显著优势。结论:宫颈刮片细胞学检查联合阴道镜检查准确率高,重复性好,创伤小,是宫颈癌临床筛查较为理想的检查方案,值得临床广泛应用。
Objective: To investigate the value of cervical smear cytology combined with colposcopy in the screening of cervical cancer. Methods: A total of 982 cases of cervical lesions were selected from May 2013 to April 2014. All patients underwent cervical smear cytology and colposcopy. The results of pathological examination were used as the standard to analyze cervical smears Cytology combined with colposcopy accuracy, cervical smear cytology accuracy, simple colposcopy accuracy between the differences. Results: The results of the combined examination showed that 940 cases were diagnosed as cervical inflammation, 40 cases were diagnosed as precancerous lesions and 2 cases were diagnosed as cervical cancer. Compared with the pathological diagnosis, P> 0.05, the difference was not significant The accuracy rate of combined examination was 37.68%, the accuracy of simple colposcopy was 29.63%, the accuracy of simple cervical smear cytology was 29.89%. After statistical analysis, P <0.05, cervical smear cytology combined with vaginal Mirror examination accuracy has significant advantages. Conclusion: Cervical smear cytology combined with colposcopy, high accuracy, good reproducibility, small trauma, cervical cancer screening is an ideal screening program, it is widely used in clinical.