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目的:探究阴道镜联合宫颈管搔刮技术辅助检查诊断早期宫颈癌是否具有临床应用价值。方法:选择前来我院就诊采用联合检查法诊断为宫颈癌并在短期内实行宫颈环状切除术(LEEP)的124例患者,对比联合诊断法与LEEP手术后进行病理诊断的结果是否一致,并分析联合诊断法是否具有临床应用价值。结果:联合诊断法和病理诊断法的符合率为71.79%,其中,过度诊断的患者占到14.10%,而诊断不足者占14.10%。细胞学检查为ASCUS-H及以上的患者漏检率与ASCUS患者相比差异显著(P<0.05)。结论:联合诊断法具有创伤小,可多次重复,漏检率相对低的优点,细胞学检查为ASCUS-H及以上的患者进行重复检查,降低漏检率。
Objective: To explore whether colposcopy combined with cervical scraping technique assisted in the diagnosis of early cervical cancer is of clinical value. Methods: One hundred and twenty-four patients who were diagnosed with cervical cancer by combined examination and were treated with cervical loop resection (LEEP) in our hospital were selected to compare the results of the pathological diagnosis after LEEP operation. And analyze whether the combined diagnosis of clinical application value. Results: The coincidence rate of combined diagnosis and pathological diagnosis was 71.79%, among them, over-diagnosis accounted for 14.10% and under-diagnosis was 14.10%. There was a significant difference (P <0.05) in undetectable rates among patients with ASCUS-H and above when compared with patients with ASCUS. Conclusion: The combined diagnosis method has the advantages of small trauma, repeated multiple times and relatively low missed detection rate. Cytological examination is repeated for patients with ASCUS-H and above to reduce the missed detection rate.