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目的:总结探讨宫颈细胞学联合阴道镜检查在筛查诊断宫颈癌中的应用效果。方法:选择2014年1月至2014年12月在东莞市南城医院院接受宫颈癌筛查的88例女性为研究对象,随机分为观察组和对照组各44例,其中对照组接受宫颈分泌液细胞学检查,观察组在宫颈分泌液细胞学检查中对上皮细胞异常者进行阴道镜检查,观察两组宫颈癌筛查阳性率及病理类型诊断特异性。结果:观察组假阴性率13.64%明显低于对照组假阴性率31.82%,组间比较,差异具有统计学意义(P<0.05);观察组检查阳性率81.82%明显高于对照组筛查阳性率61.36%,组间差异具有统计学意义(P<0.05)。观察组筛查特异性72.73%明显高于对照组52.27%,组间差异具有统计学意义(P<0.05)。结论:在筛查宫颈癌中,联合应用宫颈细胞学检查和阴道镜检查能提高诊断准确性,做到早发现早治疗,降低宫颈癌死亡率和改善患者生活质量。
Objective: To summarize the application effect of cervical cytology combined with colposcopy in screening diagnosis of cervical cancer. Methods: From January 2014 to December 2014, 88 women who underwent cervical cancer screening in Nancheng Hospital of Dongguan City were enrolled in this study. They were randomly divided into observation group (44 cases) and control group (44 cases), in which the control group received cervical secretion Cytology, observation group cervical cytology in cervical epithelial cell abnormalities were colposcopy examination, the two groups of cervical cancer screening positive rate and pathological type diagnosis specificity. Results: The false negative rate in the observation group was significantly lower than that in the control group (13.64% vs 31.82%, P <0.05). The positive rate of the observation group was 81.82%, which was significantly higher than that of the control group Rate of 61.36%, the difference between groups was statistically significant (P <0.05). The specificity of screening in observation group was 72.73%, which was significantly higher than that in control group (52.27%). The difference between groups was statistically significant (P <0.05). Conclusion: In the screening of cervical cancer, cervical cytology combined with colposcopy can improve the diagnostic accuracy, so early detection and early treatment, reduce cervical cancer mortality and improve patient quality of life.