阴道镜诊断子宫颈病变评价的临床意义

An Evaluation of Colposcope Examination on Cervical Lesions

目的：了解阴道镜诊断子宫颈痛变的敏感性、特异性、准确性，以便早期发现和治疗子宫颈疾病。方法：收集我院子宫颈液基细胞病理学异常患者300例，在阴道镜指示下，行醋酸白试验及碘试验，宫颈病变定位，活检。结果：阴道镜诊断炎症、尖锐湿疣未出现假阴性和假阳性。诊断LSIL的敏感性、特异性及准确性分别为85．7％、91．2％、90．3％，诊断HSIL分别为93．9％、93．2％、93．3％。结论：阴道镜诊断子宫颈病变可靠，有临床应用价值。

Objective： To evaluate the sensitivity, specificity and accuracy of colposcope examination for cervical lesions. Methods： 300 cases with cervicallesions are observed under colposcope. At first, the cervical lesions are located with the acetic acid and iodine test, and then biopsies are performed. Results. The sensitivity, specificity and accuracy of colposcope examination for LSIL are 85.7%, 91.2% and 90. 3% respectively, while those for HSIL are 93. 9%, 93.2% and 93.3% respectively. There are no false negativity and positivity in colposcope examination for inflammation and acuminate wards. Condusion： Colposcope examination is a good methods for the diagnosis of cervical lesions.