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目的:比较液基细胞学检查联合阴道镜检查在诊断宫颈病变中的优越性。方法:选取520例妇科患者为研究对象,按照入院顺序随机分为两组,一组260例进行阴道镜检查,二组260例进行液基细胞学联合阴道镜检查,所有患者均需进行病理组织学检查,以便用阳性诊断符合率来评价两组检查在诊断宫颈病变中的准确度。结果:液基细胞学联合阴道镜检查组共检出阳性标本166例,病理组织学检查阳性实际为140例,诊断符合率为84.3%,而单独采用阴道镜检查检出的阳性标本有114例,与病理组织学检查比较有假阳性59例,阳性诊断符合率为48.2%,两组结果比较差异显著(P<0.05)。结论:液基细胞学联合阴道镜检查在诊断宫颈病变中较单独使用阴道镜检查具有明显优势,值得在临床诊断宫颈病变中广泛应用。
Objective: To compare the superiority of liquid-based cytology and colposcopy in the diagnosis of cervical lesions. Methods: A total of 520 gynecological patients were selected and randomly divided into two groups according to admission sequence. One group of 260 patients underwent colposcopy and the other 260 patients underwent liquid-based cytology combined with colposcopy. All patients were required to undergo pathological examination In order to use positive diagnostic coincidence rate to evaluate the accuracy of the two groups in the diagnosis of cervical lesions. Results: A total of 166 positive specimens were detected by liquid-based cytology combined with colposcopy. The positive results of histopathology were 140 and the diagnostic coincidence rate was 84.3%. The positive specimens detected by colposcopy alone were 114 , 59 cases were false positive compared with histopathological examination, and the coincidence rate of positive diagnosis was 48.2%. There was significant difference between the two groups (P <0.05). Conclusions: Liquid-based cytology combined with colposcopy in the diagnosis of cervical lesions than colposcopy alone has obvious advantages, it is worth in the clinical diagnosis of cervical lesions widely used.