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目的分析阴道镜下活检在宫颈癌前病变筛查中的临床应用效果。方法收集响水县妇幼保健所妇产科于2012年12月-2014年12月就诊的500例行阴道镜下活检患者的临床资料,以病理检查为标准诊断方法,比较分析阴道镜检查效果。结果阴道镜下活检在诊断宫颈癌前病变和宫颈癌中,其灵敏度为82.7%,特异度为92.8%,阳性预测值为76.4%,阴性预测值为95.0%;同时随着宫颈病变严重程度的不断升高,而阴道镜检查阳性率也在随之不断升高。结论阴道镜下活检能够有针对性地检查可疑宫颈部位,在宫颈癌前病变筛查中具有较高的敏感性,病变检出率随着病变严重程度的增加而增加,是基层妇科门诊进行宫颈癌普查的适宜技术,值得推广和应用。
Objective To analyze the clinical effect of colposcopy biopsy in cervical precancerous lesions screening. Methods The clinical data of 500 colposcopic biopsies from December 2012 to December 2014 in Obstetrics and Gynecology Department of Obstetrics and Gynecology of Xiangshui MCH Center were collected. The pathological examination was used as the standard diagnostic method to compare colposcopy results. Results The colposcopic biopsy had a sensitivity of 82.7%, a specificity of 92.8%, a positive predictive value of 76.4% and a negative predictive value of 95.0% in the diagnosis of cervical precancerous lesions and cervical cancer. Meanwhile, with the severity of cervical lesions Rising, while the positive rate of colposcopy also will continue to rise. Conclusion colposcopy biopsy can be targeted to detect suspicious cervical sites, cervical precancerous lesions screening has a high sensitivity, the detection rate of lesions increases with the severity of the disease increases, is the primary gynecological clinic cervical Cancer screening appropriate technology, it is worth promoting and application.