摘要
目的分析液基细胞学和阴道镜在宫颈癌及癌前病变中的筛查作用,评估液基细胞学和阴道镜在宫颈癌及癌前病变筛查中的临床应用价值。方法回顾性分析2013年5月-2014年8月接受宫颈癌筛查的500例女性的临床资料,所有体检者都接受阴道镜检查和液基细胞学检查。结果阴道镜检测假阳性患者有11例,阴道镜检测的特异性为97.39%(412/423),漏诊率为1.00%(5/500);液基细胞学诊断的假阳性患者有15例,由检测结果可知液基细胞学检测宫颈癌的检测特异性为96.45%(408/423),漏诊率为6.40%(32/500)。结论液基细胞学和阴道镜在宫颈癌及癌前病变筛查中具有临床应用价值,阴道镜对宫颈癌及癌前病变的检出率较液基细胞学高。
Objective To study the application value of liquid based cytology and colposcopy in the screening of cervical cancer and precancerous lesions. Methods Retrospective analysis of clinical data of 500 female patients who underwent cervical cancer screening were conducted. All subjects received colposcopy and liquid based cytology. Results Colposcopy results showed that false positive were 11 cases,the specificity of colposcopy was 97. 39%( 412 /423),the rate of missed diagnosis was 1. 00%( 5 /500); liquid based cytology diagnosis showed that false positive were 15 cases,specificity was 96. 45%( 408 /423),the rate of missed diagnosis was 6. 40%( 32 /500). Conclusion Liquid based cytology and colposcopy has clinical application value in the screening of cervical cancer and precancerous lesions,Colposcopy for cervical cancer and precancerous lesions has higher detection rate compared with liquid based cytology.
出处
《实用癌症杂志》
2015年第7期1028-1030,共3页
The Practical Journal of Cancer
关键词
液基细胞学
阴道镜
宫颈癌
宫颈癌前病变
Liquid based cytology
Colposcopy
Cervical cancer
Cervical precancerous lesions