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目的:探讨阴道镜及宫颈细胞学检测对子宫颈癌前病变的筛查价值。方法:选取的500例疑似宫颈癌前病变患者均为本院在2014年2月-2015年6月门诊诊治,对其采用宫颈细胞学检测和阴道镜进行诊断,将病理学诊断结果作为参照标准,对比宫颈细胞学检测和阴道镜联合宫颈细胞学检测两种诊断方法的诊断准确率。结果:500例患者病理学检查结果显示:非典型鳞状细胞(ASC)316例,低级鳞状上皮病变(LSIL)104例,高级上皮病变(HSIL)63例,宫颈癌(SCC)17例;阴道镜联合宫颈细胞学检测诊断准确率为99.6%;单纯宫颈细胞学检测诊断准确率为94.8%,差异具有统计学意义(P<0.05)。结论:阴道镜及宫颈细胞学检测对子宫颈癌前病变的筛查价值较高,其诊断结果和病理学检验结果具有高度一致性。
Objective: To investigate the screening value of colposcopy and cervical cytology in cervical precancerous lesions. Methods: Selected 500 cases of suspected cervical precancerous lesions were hospital for diagnosis and treatment of cervical cytology and colposcopy from February 2014 to June 2015, the pathological diagnosis as a reference standard , Compared with cervical cytology and colposcopy combined with cervical cytology test diagnostic accuracy of two diagnostic methods. Results: The pathological findings of the 500 patients showed that there were 316 cases of atypical squamous cell (ASC), 104 cases of low grade squamous cell lesion (LSIL), 63 cases of high grade epithelial lesion (HSIL) and 17 cases of cervical cancer (SCC) Colposcopy combined with cervical cytology test diagnostic accuracy was 99.6%; simple cervical cytology test diagnostic accuracy was 94.8%, the difference was statistically significant (P <0.05). Conclusion: Colposcopy and cervical cytology detection of cervical precancerous lesions screening of higher value, the diagnostic results and pathological test results are highly consistent.