电子阴道镜在宫颈癌早期诊断与防治中的价值分析

Value analysis of electronic colposcopy in early diagnosis and prevention of cervical cancer

目的:分析早期宫颈癌筛查中使用电子阴道镜的价值。方法:选取2018-2019年进行宫颈癌筛查的已婚妇女25 468例,遵循"三阶梯"(细胞学、阴道镜、组织学检查)诊断步骤。以病理组织诊断结果为标准,比较宫颈癌早期采用阴道镜诊断的准确率。结果:阴道镜拟诊断宫颈CINⅠ、CINⅡ、CINⅢ的检出率与病理组织诊断结果比较,差异无统计学意义(P>0.05);两者吻合度比较,差异有统计学意义(P<0.05)。结论:阴道镜检查可使宫颈癌前病变的检出率显著提升,是对宫颈癌前病变进行筛查的重要途径。

Objective:To analyze the value of electronic colposcopy in screening of early cervical cancer.Methods:From 2018-2019,25468 married women who received cervical cancer screening were enrolled,followed the"three steps"(cytology,colposcopy,histological examination)diagnostic steps.Based on the results of pathological tissue diagnosis,the accuracy of early diagnosis of cervical cancer by colposcopy was compared.Results:The detection rate of colposcopy in the diagnosis of CINⅠ,CINⅡand CINⅢwas compared with the diagnosis result of pathological tissue,the difference was not statistically significant(P>0.05).The agreement between the two methods was compared,the difference was statistically significant(P<0.05).Conclusion:Colposcopy can significantly improve the detection rate of cervical precancerous lesions and it is an important way to screen cervical precancerous lesions.