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目的:评价阴道镜检查对宫颈病变的诊断价值。方法:对520例经阴道镜检查并经宫颈细胞学或组织病理学检查结果进行对比研究。结果:520例检出宫颈CINI级41例(7.88%),CINⅡ级32例(6.15%),CINⅢ级23例(4.42%),宫颈癌12例(2.31%);宫颈尖锐湿疣38例(7.31%)。阴道镜检查结果与组织病理学检查结果的诊断符合率达81.32%,阴道镜诊断假阳性率为18.68%。结论:阴道镜检查提高宫颈病变早期诊断的准确率,但假阳性率高,不能单独用于诊断宫颈病变,需结合细胞学、病理学检查提高诊断准确度。
Objective: To evaluate the value of colposcopy in the diagnosis of cervical lesions. Methods: A comparative study of 520 cases of colposcopy and cervical cytology or histopathology was performed. Results: CINI grade was detected in 41 cases (7.88%), CIN Ⅱ grade in 32 cases (6.15%), CIN Ⅲ grade in 23 cases (4.42%), cervical cancer in 12 cases (2.31%), cervical condyloma acuminatum in 38 cases %). The coincidence rate between colposcopy and histopathological examination was 81.32%, and that of colposcopy was 18.68%. Conclusion: Colposcopy can improve the accuracy of early diagnosis of cervical lesions, but the false positive rate can not be used alone for the diagnosis of cervical lesions, combined with cytology, pathology to improve diagnostic accuracy.