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目的:探讨电子阴道镜量化评分系统(RCI评分)对宫颈病变的诊断价值。方法:对2006年4月～2008年3月我院宫颈液基薄层细胞学检查(TCT)结果为不典型鳞状上皮细胞(ASCUS)及以上分型的1 936例患者进行电子阴道镜检查。对图像异常者采用RCI评分评估宫颈病变的程度,并在阴道镜下宫颈多点活检,以RCI评分诊断与组织病理学诊断进行对比分析。结果:1 936例检查对象中阴道镜图像异常1 031例,RCI评分诊断与病理诊断完全符合率为73.52%,包括相差一个级别在内符合率为99.03%,其中诊断HPV/CINI完全符合率为70.86%,诊断CINⅠ～Ⅱ完全符合率为76.51%,诊断CINⅡ～Ⅲ完全符合率94.23%,诊断浸润癌完全符合率为96.30%。结论:电子阴道镜量化评分系统(RCI评分)诊断宫颈病变较准确可靠,可预示子宫颈病变的严重程度,有很好的临床应用价值。
Objective: To investigate the diagnostic value of electronic colposcopy quantitative scoring system (RCI) for cervical lesions. Methods: Electron colposcopy was performed on 1 936 patients with atypical squamous cell carcinoma (ASCUS) and above-type cervical smear-based cytology (TCT) in our hospital from April 2006 to March 2008. . RCI score was used to evaluate the degree of cervical lesions in patients with abnormal image. Cervical multipoint biopsy under colposcopy was performed to compare RCI score with histopathological diagnosis. Results: 1 031 cases of abnormal vaginal colposcopy were detected in 1 936 subjects. The complete coincidence rate of RCI score and pathological diagnosis was 73.52%. The coincidence rate was 99.03% including one grade. The complete coincidence rate of HPV / CINI was 70.86%. The complete coincidence rate of diagnosis of CINⅠ ~ Ⅱ was 76.51%, the complete coincidence rate of diagnosis of CINⅡ ~ Ⅲ was 94.23%, and the complete coincidence rate of diagnosis of invasive carcinoma was 96.30%. Conclusion: The electronic colposcopy quantitative scoring system (RCI score) is more accurate and reliable in diagnosis of cervical lesions, which can predict the severity of cervical lesions and has good clinical value.