宫颈液基细胞学联合阴道镜检查在妇科宫颈病变中的意义

Significance of Cervical Liquid-based Cytology Combined with Colposcopy in Gynecological Cervical Lesions

目的探讨妇科宫颈病变筛查中采用宫颈液基细胞学、阴道镜检联合的临床应用价值。方法该次于2017年1月—2019年8月抽选该院妇科收治宫颈病变患者86例作为研究目标,均分别接受阴道镜检查及宫颈液基细胞学检查,并以病理检查结果为金标准,分别计算阴道镜检、宫颈液基细胞学检查及联合检查的准确性。结果86例宫颈病变患者经病理检查结果所示,42例患者为宫颈炎症,占比48.84%,11例患者为宫颈上皮内瘤变(CIN I级),占比12.79%,14例患者为宫颈上皮内瘤变(CIN II级),占比16.28%,10例患者为宫颈上皮内瘤变(CIN III级),占比11.63%,9例患者诊断为宫颈癌,占比10.47%。宫颈液基细胞学共计检出患者59例,准确率为68.60%,阴道镜共检出患者60例,准确率为69.77%,二者联合共检出患者83例,准确率为96.51%,明显高于单一检查,差异有统计学意义(χ2=21.941,23.256 P<0.05),且与病理诊断差异无统计学意义(P>0.05)。结论妇科诊断宫颈病变采取宫颈液基细胞学、阴道镜检联合方式准确性高,适用于早期宫颈癌变的筛查。

Objective To explore the clinical application value of combined cervical liquid-based cytology and colposcopy in screening of gynecological cervical lesions.Methods From January 2017 to August 2019,86 patients with cervical lesions admitted to the Department of Gynecology in the hospital were selected as the research target.All of them underwent colposcopy and cervical liquid-based cytology,and used pathology,taking the test result as the gold standard,and the accuracy of colposcopy,cervical liquid-based cytology and combined examination was calculated separately.Results According to the pathological examination results of 86 patients with cervical lesions,42 patients had cervical inflammation,accounting for 48.84%,11 patients had cervical intraepithelial neoplasia(CIN grade I),accounting for 12.79%,and 14 patients had cervical inflammation Cervical intraepithelial neoplasia(CIN II grade),accounting for 16.28%,10 patients had cervical intraepithelial neoplasia(CIN III),accounting for 11.63%,and 9 patients were diagnosed with cervical cancer,accounting for 10.47%.Cervical liquid-based cytology detected a total of 59 patients with an accuracy of 68.60%.Colposcopy detected a total of 60 patients with an accuracy of 69.77%.The combination of the two detected a total of 83 patients with an accuracy of 96.51%,which was obviously higher than a single examination,the difference was statistically significant(χ2=21.941,23.256,P<0.05),and And there is no statistically significant difference from pathological diagnosis(P>0.05).Conclusion The combined method of cervical liquid-based cytology and colposcopy in the diagnosis of cervical lesions in gynecology is highly accurate.It is suitable for the screening of early cervical cancer.