CAJ | 학술논문

目的探讨三阶梯诊断流程对宫颈高度病变诊断的临床价值.方法对1524例液基薄层细胞学检查(TCT)结果异常患者进行阴道镜检查及多点组织学活检,以多点组织学活检结果为确诊标准,计算诊断宫颈高度病变的情况.结果 TCT异常患者宫颈高度病变率为22.3%(340/1524),TCT诊断宫颈高度病变的敏感度为27.1%(92/340)、特异度为97.5%(1154/1184);阴道镜检查诊断宫颈高度病变的敏感度为47.9%(163/340)、特异度为96.4%(1141/1184).结论 TCT特异度高的优点,适合用于宫颈病变的初筛,阴道镜检查可准确定位和评估病变程度,提高宫颈高度病变的检出率和准确率.
목적 탐토삼계제진단류정대궁경고도병변진단적림상개치.방법 대1524례액기박층세포학검사(TCT)결과이상환자진행음도경검사급다점조직학활검,이다점조직학활검결과위학진표준,계산진단궁경고도병변적정황.결과 TCT이상환자궁경고도병변솔위22.3%(340/1524),TCT진단궁경고도병변적민감도위27.1%(92/340)、특이도위97.5%(1154/1184);음도경검사진단궁경고도병변적민감도위47.9%(163/340)、특이도위96.4%(1141/1184).결론 TCT특이도고적우점,괄합용우궁경병변적초사,음도경검사가준학정위화평고병변정도,제고궁경고도병변적검출솔화준학솔.
Objective To discuss the clinical value of the "three-step" diagnostic routine in the diagnosis of cervical high-grade lesions. Method The women with the abnormal thinprep cytology test (TCT) underwent colposcopy and biopsy,the pathobiology result was the diagnostic standard. The sensitivity and specificity of the cervical high-grade lesions was calculated. Results The identify rate of the cervical high-grade lesions from the abnormal TCT was 22.3% (340/1524), the sensitivity was 27.1% (92/340), the specificity was 97.5% (1154/1184). The sensitivity of colposcopy was 47.9% (163/340), the specificity of colposcopy was 96.4% (1141/1184). Conclusion TCT with high sensitivity is used for preliminary screening, the colposcopic examination is used to pinpoint and evaluate the lesions,the detection rate and accuracy of cervical high-grade lesions can be improved.