常规宫颈活检与阴道镜直视宫颈多点活检诊断宫颈疾病的价值对比分析

Comparison the diagnostic value of routine cervical biopsy and multi point biopsy under colposcopy in the diagnosis of cervical diseases

目的探讨常规宫颈活检与阴道镜直视宫颈多点活检对宫颈疾病的诊断价值。方法选取我院收治的96例宫颈疾病患者为研究对象,以随机数字表法分为观察组与对照组,各48例,对照组采取常规宫颈活检,观察组实施阴道镜直视宫颈多点活检,以宫颈锥切术后病理诊断结果为诊断标准,对比两组的检出准确率。结果观察组对宫颈疾病的检出准确率为91.67%,高于对照组的66.67%(P<0.05);观察组对宫颈炎、CIN Ⅰ、CIN Ⅱ、CIN Ⅲ的误诊率分别为11.11%、20.00%、12.50%、4.76%,浸润癌与宫颈息肉无误诊者;对照组宫颈炎、CIN Ⅰ、CIN Ⅱ、CIN Ⅲ、浸润癌误诊率分别为25.00%、50.00%、50.00%、34.78%、25.00%;观察组误诊率明显低于对照组(P<0.05)。结论阴道镜直视宫颈多点活检能提高宫颈疾病的诊断准确率,对患者预后具有积极意义。

Objective To explore the diagnostic value of routine cervical biopsy and multi point biopsy under colposcopy in the diagnosis of cervical diseases. Methods Ninety-six cases of patients with cervical disease in our hospital were en- rolled and randomly divided into observation group and control group, with 48 cases in each group. The control group received routine cervical biopsy, while the observation group received multi point biopsy under colposcopy, the pathological diagnosis results after the cervical conization was set as the diagnostic criteria. The detection accuracy rate was compared between the two groups. Results The detection accuracy rate of cervical disease in the observation group was 91.67%, which was higher than 66.67% in the control group （P〈0.05）. The misdiagnosis rates of cervicitis, CIN I, CIN II, CIN III in the observation group were respectively 11.11%, 20.00%, 12.50%, 4.76%, and there was no misdiagnosis of invasive carcinoma and cervical polyp. The misdiagnosis rates of cervicitis, CIN Ⅰ, CIN Ⅱ, CIN Ⅲ and invasive carcinoma in the control group were respectively 25,00%, 50.00%, 50.00%, 34.78% and 25.00%, the misdiagnosis rate in the observation group were significantly lower than those in the control group （P〈0.05）. Conclusion Multi point biopsy under colposcopy can im- prove the diagnosis accuracy of cervical disease, it has positive significance to the prognosis of the patients.