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目的 探讨宫颈刮片阴道镜及镜下活检在宫颈上皮瘤样病变及宫颈早期浸润癌中的诊断价值。方法 对 345例疑有宫颈病变的妇女常规行宫颈刮片阴道镜及镜下活检。结果 宫颈刮片在宫颈上皮瘤样病变及宫颈早期浸润癌的阳性检出率 17.4 3% ,阴道镜拟诊阳性率 96 .33% ,假阳性率 4 6 .4 1%。结论 阴道镜检查可作为防治宫颈癌的初筛工具 ,优于阴道宫颈脱落细胞学检查 ,为了避免宫颈刮片的假阴性、阴道镜检的假阳性、宫颈活检的盲目性 ,应将宫颈刮片细胞学检查、阴道镜检查及病理学检查有机地结合 ,在宫颈上皮瘤样病变及宫颈早期浸润癌的诊断中有极其重要的价值。
Objective To evaluate the diagnostic value of cervical smear colposcopy and microscopic biopsy in cervical epithelial tumor-like lesions and early invasive carcinoma of the cervix. Methods 345 cases of suspected cervical lesions in women with conventional cervical smear colposcopy and microscopic biopsy. Results The positive rate of cervical smear was 17.4 3% in cervical epithelial tumor and early invasive carcinoma of cervix. The positive rate of colposcopy was 96.33% and the false positive rate was 46.41%. Conclusion colposcopy can be used as a screening tool for the prevention and treatment of cervical cancer, cervical vaginal cytology better than vaginal examination, in order to avoid false negative cervical smear, colposcopy false positive, cervical biopsy blindness should be cervical scraper Cytology, colposcopy and pathology combined organically, in the diagnosis of cervical epithelial tumor-like lesions and early cervical cancer have an extremely important value.