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目的:评价TCT结合阴道镜检查在子宫颈癌普查中的诊断价值。方法:对2005-12/2008-09来我院检查的育龄妇女600例,随机分观察组及对照组各300例。研究组均进行TCT及阴道镜检查,对照组只单纯行阴道镜检查,对比两组组织学诊断符合率。结果:研究组组织病理诊断符合率86.7%(39/45),对照组组织病理诊断符合率48.7%(19/39);两组病理诊断符合率比较差异有统计学意义(P<0.01)。结论:TCT联合阴道镜检查能显著提高宫颈病变的阳性检出率,对宫颈癌、宫颈癌前病变的早期诊断具有重要价值。
Objective: To evaluate the diagnostic value of TCT combined with colposcopy in the screening of cervical cancer. Methods: 600 women of childbearing age who came to our hospital from December 2005 to September 2008 were randomly divided into observation group (300 cases) and control group (300 cases). The study group were carried out by TCT and colposcopy, the control group only simple colposcopy, histological contrast between the two groups were compared. Results: The coincidence rate of histopathological diagnosis was 86.7% (39/45) in the study group, and 48.7% (19/39) in the control group. The coincidence rate of pathological diagnosis between the two groups was statistically significant (P <0.01). Conclusion: TCT combined with colposcopy can significantly improve the detection rate of cervical lesions, cervical cancer, cervical precancerous lesions of early diagnosis is of great value.