接触性阴道出血阴道镜检查的价值

THE VALUE OF COLPOSCOPY IN CERVICAL CONTACTIVE BLEEDING

目的 :评价阴道镜对CCB诊断价值。方法 :对 182例CCB患者阴道镜、宫颈细胞学、阴道镜定位下活检病理学检查结果对照分析。结果 :细胞学检查假阳性率 34 .7%、假阴性率 43.2 % ,阴道镜检查假阳性 7.1%、假阴性率 6 .5 % ;细胞学与阴道镜检查比较 ,假阳性、假阴性出现率差异有显著性 (P <0 .0 5 )。阴道镜与病理学检查结果符合率为 91.2 % ,两者阳性率差异无显著性 (P >0 .0 5 )。结论 :阴道镜检查能初步判断CCB的病因学 。

Objective:To evaluate the diagnostic effect of colposcopy in patients with cervical contactive bleeding.Methods:182 patients with cervical contactive bleeding were investigated with colposcopy and their findings were compared with final histologic diagnosis of the directed biopsy through colposcopy.Results:The false-negative rate of cervical smear cytology was 34.7%, and colposcopy 7.1%.To the false-positive rate,the former is 43.2%, the latter is 6.5%.Their differentiation was significant in the false-negative or false-positive rate, P <0.05.The accordance rate of Colposcopy with histopathology was 91.20%,their differentiation was unsignificant, P >0.05.Conclusions:The histology of CCB could be suggested through colposcopy, but it was unable to replace the histopathologic examination and cervical smear cytologic examination.