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目的 观察阴道镜结合Reid评分在子宫颈病变筛选中的意义,寻求早期发现宫颈癌前病变和早期宫颈癌的检查方法。方法 对2002年10月~1004年2月在我院阴道镜门诊就诊的542 例宫颈病变患者采取阴道镜检查行Reid评分和宫颈活检及巴氏涂片,对其结果进行分析。结果 阴道镜与组织学诊断符合率:慢性宫颈炎99 .58%,宫颈癌前病变及癌分别为75%、90%;宫颈防癌涂片诊断癌前病变及癌的正确率分别为42. 86%、40%,χ2 检验差异有高度显著性(P<0.01)。结论 阴道镜在宫颈疾病的诊断中显著地优于宫颈防癌涂片,是诊断宫颈病变的一种方便、实用、检出率高的较好方法。
Objective To observe the significance of colposcopy combined with Reid score in the screening of cervical lesions and to seek early detection of cervical precancerous lesions and early cervical cancer. Methods 542 cases of cervical lesions treated in our hospital from February 2002 to February 2004 were retrospectively analyzed by Reid score, cervical biopsy and Pap smear. Results The coincidence rate of colposcopy and histological diagnosis was 99.58% for chronic cervicitis and 75% and 90% for cervical precancerous lesions and cancers respectively. The correct rates of precancerous lesions and cancers for cervical cancer prevention smears were 42 and 42 respectively. The differences of 86%, 40%, χ2 test were highly significant (P <0.01). Conclusion colposcopy in the diagnosis of cervical disease was significantly better than cervical anti-cancer smear diagnosis of cervical lesions is a convenient, practical, high detection rate of a better method.