液基细胞学检查与阴道镜对宫颈癌前病变的诊断价值

Explore the clinical value of TCT and colposcopy in diagnosis of early cerviacl lesion

目的探讨液基细胞学检查与阴道镜检查对宫颈癌前病变的临床诊断价值。方法回顾性分析该院375例疑似宫颈癌患者液基细胞学检测和阴道镜检查结果,并与病理检查结果进行对比分析。结果阴道镜对低级别病变(CINⅠ)和高级别病变(CINⅡ、CINⅢ、癌变)符合率分别为64.41%和67.44%;液基细胞学检查对低级别病变和高级别病变诊断符合率分别为53.37%和81.25%;阴道镜对低级别病变诊断符合率高于液基细胞学检查;对高级别病变的诊断,液基细胞学检查符合率高于阴道镜检查,差异均有统计学意义(P<0.05)。结论阴道镜检查和液基细胞学检查各有利弊,两者联合可以提高宫颈癌前病变的诊断率。

Objective To explore the clinical value of TCT and colposcopy in diagnosis of early cerviacllesion . Methods Retrospective analysis of 375 cases of suspected patients with cervical cancer detection of TCT and colpos-copy results ,and the results were compared with pathological examination .Results Colposcopy coincidence rate was of low grade lesions in CIN Ⅰ was 64 .41% and high grade lesions was 67 .44% ;TCT for low-grade lesions and high grade lesions diagnostic accordance rate was 53 .37% and 81 .25% respectively .Colposcopy in the diagnosis of low-grade lesions consistent rate was higher than TCT ,diagnosis for high grade lesion ,TCT had a rate than colposcopy（P〈0 .05） .Conclusion Colposcopy and TCT each has advantages and disadvantages ,combination diagnose can im-prove the rate of cervical precancerous lesions .