电子阴道镜筛查宫颈病变180例临床观察与分析

Clinical observation and Analysis in Electronic Colposcopy in Screening of Cervical Lesions(Report of 180 cases)

目的：探讨电子阴道镜在宫颈疾病诊治中的应用价值和临床意义。方法：收集我院2005年7月～2006年1月妇产科180例宫颈疾病患者,进行阴道镜检查并行宫颈活检组织学检查,将其结果进行分析、比较和总结。结果：①电子阴道镜在诊断宫颈疾病中,敏感度为90.3%,特异度为84.7%,假阴性率9.7%,阳性预测值为83.8%;②阴道镜图像与组织学结果相比,醋白上皮符合率为72.7%,二联征符合率为76.7%,三联征符合率为100%,可疑宫颈癌符合率为100%;③宫颈疾病在年龄分布上,其中以30～39岁发病者所占比例最大,为CIN和CIS的发病高峰。结论：电子阴道镜检查技术诊断宫颈疾病结果准确可靠,有一定应用价值,特别对CIN的早期发现、早期治疗及降低宫颈癌的发病率有重要的指导意义。

Objective： To investigate the clinical value and significance of electronic colposcopy in diagnosis and treatment of cervical lesions. Methods; 180 patients with cervical lesions in our hospital from July 2005 to January 2006 were selected. The results of their colposcopy and pathology were analyzed, compared and summarized. Results：①The sensitivity, specificity , false negative rate and positive predictive value of colpscopy was respectively 90.3 %, 84.7 %, 9.7 % and 83.8 %. ② The coincidence of acetowhite epithelium, twin signs, triple signs and doubtful cervical cancers diagnosed by colposcopy with those by pathology was 72.7 %, 76.7 %, 100 % and 100 %, respectively. ③The age of onset of cervical lesions specially CIN and CIS was mainly between 30 years and 39 years old. Conclusion： Electronic colpscopy is precise, valuable in diagnosis in cervical lesions, specially in ealy diagnosis and treatment of CIN and lessening the occurrence of cervical cancer.