CAJ | 학술논문

目的评价四种宫颈癌及癌前病变筛查方法的诊断效果和意义.方法1000例妇女分别采用四种宫颈癌筛查方法筛查,以阴道镜下病理学检查为金标准,分别计算其敏感度、特异度、准确度、假阴性率.结果以阴道镜下病理学检查为金标准,各筛查方法的敏感度、特异度、准确度及假阴性率分别为:5%醋酸染色后肉眼观察(72.3%,71.7%,71.9%,17.7%);传统巴氏涂片(61.9%,82.9%,75.4%,20.3%);阴道镜检查(80.1%,74.4%,75.4%,,12.9%);Thinprep液基薄层细胞学检查(TCT)(88.2%,93.8%,,91.8%,6.5%).结论TCT能准确全面地反映宫颈癌和癌前病变情况,它是目前一种首选的高效宫颈癌筛查手段.阴道镜与细胞病理学结合能明显提高诊断的准确性.醋酸染色后肉眼观察和传统巴氏涂片作为简便、快捷、低廉的筛查方法不失为一种有效的宫颈癌筛查手段.
목적평개사충궁경암급암전병변사사방법적진단효과화의의.방법1000례부녀분별채용사충궁경암사사방법사사,이음도경하병이학검사위금표준,분별계산기민감도、특이도、준학도、가음성솔.결과이음도경하병이학검사위금표준,각사사방법적민감도、특이도、준학도급가음성솔분별위:5%작산염색후육안관찰(72.3%,71.7%,71.9%,17.7%);전통파씨도편(61.9%,82.9%,75.4%,20.3%);음도경검사(80.1%,74.4%,75.4%,,12.9%);Thinprep액기박층세포학검사(TCT)(88.2%,93.8%,,91.8%,6.5%).결론TCT능준학전면지반영궁경암화암전병변정황,타시목전일충수선적고효궁경암사사수단.음도경여세포병이학결합능명현제고진단적준학성.작산염색후육안관찰화전통파씨도편작위간편、쾌첩、저렴적사사방법불실위일충유효적궁경암사사수단.