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目的探讨初善仪、阴道镜二者联合在宫颈病变筛查中的价值。方法对2011年1～6月在某院因中重度宫颈糜烂行LEEP刀宫颈环切术的患者258例,术前进行初善仪(Truscreen)及电子阴道镜检查,术后切除组织行病理学检查,以病理组织学检查为金标准,分析初善仪联合阴道镜在宫颈病变筛查中的应用价值。结果初善仪检查阳性74例,占28.68%;阴道镜检查阳性82例,占,31.78%,二者符合率211/258,为81.78%。结论初善仪、阴道镜与病理学诊断的一致性均较显著。初善仪与阴道镜联合应用明显提高了宫颈癌及癌前病变的检出率,在临床使用中有重要的价值。
Objective To explore the value of the combination of early age instrument and colposcopy in the screening of cervical lesions. Methods From January to June of 2011, 258 patients underwent LEEP knife-and-loop circumcision in a hospital due to moderate or severe cervical erosion. Truscreen and electronic colposcopy were performed before operation. Pathology Check to histopathological examination as the gold standard, analysis of the first good instrument joint colposcopy in the screening of cervical lesions in the value. Results The first test was performed in 74 cases, accounting for 28.68%. Colposcopy was positive in 82 cases (31.78%), the coincidence rate was 211/258 (81.78%). Conclusions The goodness of mouth instrument, colposcopy and pathological diagnosis are more conspicuous. The combination of early age instrument and colposcope obviously improves the detection rate of cervical cancer and precancerous lesions and has important value in clinical use.