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目的:探讨阴道镜检查在宫颈疾病诊断中的价值。方法:对2005年1月~2007年7月1 500例宫颈病变患者宫颈刮片及阴道镜检查结果进行回顾性分析,并进行统计学一致性检验。结果:经病理确诊为宫颈炎208例,宫颈上皮内瘤变41例,宫颈原位癌3例,湿疣13例。阴道镜诊断与病理诊断存在高度一致性(Kappa=0.9064,Sk=0.0599),宫颈刮片结果与病理诊断一致程度不够理想(Kappa=0.1026,Sk=0.0286)。结论:阴道镜在宫颈疾病的诊断中显著优于宫颈巴氏刮片,阴道镜检查对诊断宫颈疾病有重要价值。
Objective: To explore the value of colposcopy in the diagnosis of cervical disease. Methods: The cervical smears and colposcopy findings of 1 500 cases of cervical lesions from January 2005 to July 2007 were analyzed retrospectively and statistically tested. Results: The pathological diagnosis of 208 cases of cervicitis, cervical intraepithelial neoplasia in 41 cases, cervical carcinoma in situ in 3 cases, 13 cases of genital warts. Colposcopy diagnosis was highly consistent with pathological diagnosis (Kappa = 0.9064, Sk = 0.0599). The results of cervical smears were not consistent with pathological diagnosis (Kappa = 0.1026, Sk = 0.0286). Conclusions: Colposcopy is superior to cervical Pap smear in the diagnosis of cervical diseases. Colposcopy is important for the diagnosis of cervical diseases.