宫颈细胞学涂片联合阴道镜对宫颈病变患者的诊断效果

The Effect of Cervical Smear Combined with Colposcope in the Diagnosis of Cervical Lesions

目的:采用宫颈细胞学涂片联合阴道镜对宫颈病变患者进行诊断分析。方法:选取在笔者所在医院进行宫颈涂片检查的204例患者,对其分别进行宫颈细胞学涂片检查、阴道镜,分析临床结果。结果:204例患者中,93例异常者,其中意义不明的不典型鳞状细胞和腺细胞(ASCUS)56例,低度鳞状上皮内病变(LSIL)22例,高度鳞状上皮内病变(HSIL)14例,鳞癌(SCC)1例。对患者进行阴道镜检查,患者灵敏度为89.4%(59/66),特异度为77.0%(107/139),假阴性率为10.6%(7/66),假阳性率为23.0%(32/139)。经LEEP证实后,存在漏诊和诊断不足情况。宫颈细胞学涂片联合阴道镜检查,灵敏度为94.7%(54/57),特异度为43.5%(47/85),假阴性率5.2%(3/57),假阳性率为56.5%(48/85)。经LEEP证实后准确率为90.5%。结论:宫颈细胞学涂片联合阴道镜检查不仅可以减少漏诊率和误诊率,还能成为治疗宫颈病变的有效方法。

Objective：To analyze the effect of cervical smear combined with colposcope in the diagnosis of cervical lesions.Method：In our hospital for cervical smears 204 patients were selected,they were given cervical smears and colposcopy,the clinical results were analyzed.Result：204 patients,93 cases were abnormal,the meaning of unknown atypical squamous cell and gland（ASCUS） 56 cases,low-grade squamous intraepithelial lesions（LSIL） 22 cases,highly squamous intraepithelial lesion（HSIL） 14 cases,1 case of squamous cell carcinomas（SCC）.Colposcope examination was performed,the sensitivity was 89.4%（59/66）,specific degree was 77.0%（107/139）,false negative rate was 10.6%（7/66）,the false positive rate was 23.0%（32/139）,after LEEP confirmed diagnosis and misdiagnosis and deficiencies.In cervical cytological smear combined colposcope examination,the sensitivity was 94.7%（54/57）,43.5%（47/85）,false negative rate was 5.2%（3/57）,false positive rate was 56.5%（48/85）.LEEP confirmed the accuracy was 90.5%.Conclusion：Cervical smear combined colposcope examination can not only reduce missed diagnosis and misdiagnosis rate,also can be a effective method for treatment of cervical lesion.