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目的研究阴道镜检查技术在农村妇女宫颈癌检查项目中的意义。方法选取2016年1-12月于吉林省延边朝鲜族自治州延边妇幼保健院妇科门诊(机会性筛查)和延边朝鲜族自治州8个农村宫颈癌检查项目县(组织性筛查)筛查异常者,行阴道镜检查,病理结果作为诊断,两组比较评估推广意义。结果机会性筛查人群中阴道镜检查328例,镜下活检223例,病变检出率为54.8%。项目县组织性筛查人群中阴道镜检查170例,镜下活检123例,病变检出率25.3%,两组病变检出率差别有显著统计学意义;应用2011IFCPC术语机会性筛查阴道镜诊断与病理诊断符合率为76.2%,组织性筛查阴道镜诊断与病理诊断符合率为38.2%,两组诊断符合率差别有显著统计学意义。结论阴道镜检查为对宫颈癌初筛结果阳性患者的诊断工具,能够及时发现宫颈癌病变,两组阴道镜检查专业技能有较大差距,提高延边朝鲜族自治州宫颈癌检查项目县阴道镜检查技术意义重大。
Objective To study the significance of colposcopy in rural women’s cervical cancer screening project. Methods From January to December in 2016, Yanbian Maternal and Child Health Hospital of Yanbian Korean Autonomous Prefecture, Jilin Province, gynecology clinic (opportunistic screening) and Yanbian Korean Autonomous Prefecture, eight rural cervical cancer screening project counties (tissue screening) Colposcopy, pathological results as a diagnosis, the two groups to evaluate the promotion of significance. Results Among the opportunistic screening population, 328 cases were colposcopy and 223 cases were microscopic biopsy. The detection rate of lesions was 54.8%. In the project county, there were 170 colposcopy and 123 microscopic biopsies in the screening population of the project county, the detection rate of the lesion was 25.3%, the difference of the detection rate of the two groups was statistically significant. By the 2011IFCPC term opportunistic screening colposcopy The coincidence rate with pathological diagnosis was 76.2%. The coincidence rate of histological screening colposcopy diagnosis and pathological diagnosis was 38.2%. There was significant difference between the two groups in diagnostic coincidence rate. Conclusions Colposcopy is a diagnostic tool for patients with positive cervical screening results, and can detect cervical lesions in time, there is a big gap between the two groups of colposcopy expertise and colposcopy colposcopy in Yanbian Korean Autonomous Prefecture Significant.