宫颈细胞学检查与阴道镜检查分析比较与评价

目的对宫颈病变尤其是宫颈上皮内瘤样病变(CIN)的检查方法进行分析比较与评价。方法对326例患者采用宫颈细胞涂片和阴道镜检查及宫颈进行宫颈组织病理学检查。结果宫颈涂片细胞学敏感度为64.10%,阴道镜检查敏感度为82.05%。结论宫颈涂片细胞学检查是宫颈病变筛查的初步方法,阴道镜检查是辅助诊断宫颈病变的重要方法,在阴道镜下进行组织病理学组检查,提高了组织病理学对宫颈上皮内瘤样病变及宫颈癌的诊断阳性率,及早发现宫颈癌,对宫颈疾病检查有重要意义。

Objective： To compare and evaluate the inspection methods of cervical pathological changes especially cervical intraepithelial neoplasia（CIN）. Methods： 326 patients inspected by cervical smear, vaginoscopy and cervical histopathological examination. Results： The sensitivity of cervical smear is 64.10%, and the vaginoscoy＇s is 82.05%. Conclusions： Cervical smear cytology is the initial method of screening for cervical pathological changes, vaginoscopy is an important method of diagnoses. Cervical histopathological examination by vaginoscopy improve the diagnostic positive rate of cervical intraepithelial neoplasia（CIN） and cervical cancer. Early detection of cervical cancer is significant for the cervical pathological changes.