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目的 探讨阴道镜诊断女性下生殖道湿疣的价值。方法 采用阴道镜观察 2 5 0例下生殖道湿疣的病变情况并与病理检查对照。结果 2 5 0例湿疣患者子宫颈、阴道、外阴共发生湿疣病变 32 2处 ,其中尖锐型湿疣2 5 8例 (占 80 12 % ) ,扁平型湿疣 5 4例 (占 16 77% ) ,扁平型湿疣合并CIN、VIN10例 (占 3 10 % )。宫颈湿疣的临床检出率为 34 40 % ;阴道镜检出率为 76 80 %。阴道镜诊断尖锐型湿疣正确率为 10 0 0 0 % ,假阳性率 0 ,假阴性率 0 ,敏感度 10 0 0 0 % ,特异度 10 0 0 0 % ;扁平型湿疣正确率为 98 5 7% ,假阳性率 0 ,假阴性率 5 3 70 % ,敏感度46 30 % ,特异度 10 0 0 0 % ;扁平型湿疣合并CIN、VIN的正确率为 99 95 % ,假阳性率 0 ,假阴性率 10 0 0 % ,敏感度 90 0 0 % ,特异度 10 0 0 0 %。结论 阴道镜检查是诊断湿疣的一种方便、实用、无创伤、检出率高的较好方法。
Objective To explore the value of colposcopy in the diagnosis of genital warts in women. Methods colposcopy observation of 250 cases of lower genital warts lesions and pathological examination control. Results Twenty-two cases of genital warts were found in 250 cases of genital warts, including 258 cases (80.12%) of genital warts, 54 cases (16.77%) of flat condyloma, flattened Type condyloma with CIN, VIN10 cases (3 10%). The clinical detection rate of cervical condyloma was 34 40%; the colposcopy detection rate was 76 80%. The correct rate of colposcopy in diagnosing acute genital warts was 100%, the false positive rate was 0, the false negative rate was 0, the sensitivity was 100% and the specificity was 100%. The correct rate of flat condyloma was 98 57 %, The false positive rate was 0, the false negative rate was 5370%, the sensitivity was 46 30% and the specificity was 100 000%. The correct rate of flat condyloma with CIN and VIN was 99 95%, false positive rate was 0, false The negative rate was 100%, the sensitivity was 90% and the specificity was 100%. Conclusion colposcopy is a convenient, practical, noninvasive diagnosis of genital warts, the detection rate is a better method.