阴道镜检查在宫颈疾病诊断中的价值

The value of the colposcopy in the diagnosis of cervical disease

目的:评价阴道镜检查在宫颈疾病诊断中的价值。方法:回顾性分析本院妇产科670例经阴道镜下活检患者的资料,评价阴道镜检查对宫颈病变的诊断价值。结果:阴道镜下病理检查的670例中,检出宫颈上皮内瘤变及宫颈癌110例,占16.4%,其中,CINⅠ65例(59.1%),CINⅡ28例(25.4%),CINⅢ11例(10%),宫颈癌6例(5.5%)。以组织学诊断为标准,阴道镜检查诊断宫颈上皮内瘤变及宫颈癌的灵敏度、特异度、阳性预测值、阴性预测值分别为86.4%、84.3%、51.9%、96.9%。从CINⅠ→CINⅡ→CINⅢ及癌,阴道镜检查的灵敏度分别为84.6%(55/65)、85.7%(24/28)、90.9%(10/11)、100%(6/6)。结论:阴道镜对宫颈上皮内瘤变及宫颈癌的诊断,具有较高的灵敏度和阴性预测值。阴道镜对宫颈高度病变的检出率,高于低度病变的检出率。

Objective：To evaluate colposcopy in the diagnosis of cervical disease.Methods：Retrospective analysis of 670 cases of hospital obstetrics and gynecology by colposcopy and biopsy cases,evaluation of colposcopy for cervical lesions. Results：Colposcopy pathological examination of 670 cases,the detection of cervical intraepithelial neoplasia and cervical cancer 110 cases,accounting for 16.4%,which,CIN Ⅰ 65 例 （59.1%）,CIN Ⅱ 28 例 （25.4%）,CIN Ⅲ 11 cases （10%）,6 cases of cervical cancer （5.5%）.To histological diagnosis as the standard colposcopy diagnosis of cervical intraepithelial neoplasia and cervical cancer sensitivity,specificity,positive predictive value,negative predictive value were 86.4% ,84.3% ,51.9% , 96.9%.From CIN Ⅰ→ CIN Ⅱ→ CIN Ⅲ and cancer,the sensitivity of colposcopy was 84.6% （55/65）,85.7% （24/28）,90.9% （10/11）,100%（6/6）.Conclusion：Colposcopy of cervical intraepithelial neoplasia and cervical cancer diagnosis,with high sensitivity and negative predictive value.Colposcopy of cervical HSIL detection rate,higher than the low detection rate of lesions.