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宫颈癌筛查诊断中采用阴道镜检查的效果

Effect of colposcopy in diagnosis of cervical cancer screening
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摘要 目的分析宫颈癌筛查诊断中采用阴道镜检查的效果。方法选取1260名进行两癌筛查的女性,均进行阴道镜检查以及病理检查,对比阴道镜检查与病理检查对宫颈癌的诊断结果。结果1260名女性经病理检查,其中宫颈上皮内瘤变(CIN)Ⅰ级132例,CINⅡ级58例,CINⅢ级55例,鳞癌7例,腺癌2例,共检出254例;经阴道镜检出CINⅠ级105例,CINⅡ级41例,CINⅢ级40例,鳞癌6例,腺癌1例,共检出193例。两种检查方式总检出率相比,阴道镜检查低于病理检查,差异具有统计学意义(P<0.05),阴道镜的诊断准确率为75.98%(193/254)。结论阴道镜对宫颈癌的诊断较为接近病理检查,在进行两癌筛查中应重视对于阴道镜的使用,从而对疾病进行准确评估,尽早发现并实施相关治疗,进而改善患者预后。 Objective To analyze the effect of colposcopy in cervical cancer screening and diagnosis.Methods A total of 1260 women who underwent screening for two cancers were selected to undergo colposcopy and pathological examination,and the diagnosis results of cervical cancer were compared between colposcopy and pathological examination.Results Among the 1260 women,there were 132 cases of cervical intraepithelial neoplasia(CINⅠ),58 cases of CINⅡ,55 cases of CINⅢ,7 cases of squamous cell carcinoma and 2 cases of adenocarcinoma,a total of 254 cases were detected.By colposcopy,105 cases of CINⅠ,41 cases of CINⅡ,40 cases of CINⅢ,6 cases of squamous cell carcinoma,and 1 case of adenocarcinoma were detected,a total of 193 cases were detected.The total detection rate of colposcopy was lower than that of pathology,and the difference was statistically significant(P<0.05),and the diagnostic accuracy of colposcopy was 75.98%(193/254).Conclusion The diagnosis of cervical cancer by colposcopy is close to that of pathological examination.Therefore,attention should be paid to the use of colposcopy in the screening of the two cancers,so as to accurately evaluate the disease,detect and implement relevant treatment as early as possible,to improve the prognosis of patients.
作者 杨琴 Yang Qin(Department of Obstetrics and Gynecology,Jiangning District Maternal and Child Health and Family Planning Service Center,Nanjing,Jiangsu 211100,China)
出处 《实用妇科内分泌电子杂志》 2022年第33期81-83,共3页 Electronic Journal of Practical Gynecological Endocrinology
关键词 宫颈癌 阴道镜检查 临床应用 Cervical cancer Colposcopy Clinical Application
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