中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2009年
11期
829-830
,共2页
程艳香%江敬红%蒋丽%谢秋容%吴秀枝%洛若愚%张蔚%鲍燕
程豔香%江敬紅%蔣麗%謝鞦容%吳秀枝%洛若愚%張蔚%鮑燕
정염향%강경홍%장려%사추용%오수지%락약우%장위%포연
宫颈疾病%阴道镜检查
宮頸疾病%陰道鏡檢查
궁경질병%음도경검사
Uterine cervical disease%Colposcopy
探讨Reid's阴道镜评分(RCI评分)在宫颈疾病诊断中的价值,以规范阴道镜指导下活检.回顾性比较分析接受RCI评分及阴道镜活检的899例宫颈疾病患者的临床资料,RCI分值与宫颈病变严重程度呈正相关(F=2.043,P=0.03);对炎性、宫颈上皮内瘤变(CIN)Ⅰ诊断的特异性分别为98.8%和95.7%;对CINⅡ、CIN Ⅲ诊断的灵敏性为77.7%和70.0%,阴性预测值96.8%和97.4%.提示RCI评分可以提高阴道镜检查的诊断价值.
探討Reid's陰道鏡評分(RCI評分)在宮頸疾病診斷中的價值,以規範陰道鏡指導下活檢.迴顧性比較分析接受RCI評分及陰道鏡活檢的899例宮頸疾病患者的臨床資料,RCI分值與宮頸病變嚴重程度呈正相關(F=2.043,P=0.03);對炎性、宮頸上皮內瘤變(CIN)Ⅰ診斷的特異性分彆為98.8%和95.7%;對CINⅡ、CIN Ⅲ診斷的靈敏性為77.7%和70.0%,陰性預測值96.8%和97.4%.提示RCI評分可以提高陰道鏡檢查的診斷價值.
탐토Reid's음도경평분(RCI평분)재궁경질병진단중적개치,이규범음도경지도하활검.회고성비교분석접수RCI평분급음도경활검적899례궁경질병환자적림상자료,RCI분치여궁경병변엄중정도정정상관(F=2.043,P=0.03);대염성、궁경상피내류변(CIN)Ⅰ진단적특이성분별위98.8%화95.7%;대CINⅡ、CIN Ⅲ진단적령민성위77.7%화70.0%,음성예측치96.8%화97.4%.제시RCI평분가이제고음도경검사적진단개치.
Clinical data of 899 patients,who received colposcopic examination,were retrospectively analyzed.Both Reid's colposcopic index(RCI)score and biopsy were performed.The study showed that the value of RCI score was positively related to the severity of cervical lesions(F=2.043,P=0.03).The specificity of RCI for cervicitis,cervical intraepithelial neoplasia(CIN)Ⅰ were 98.8%,95.7% respectively;while sensitivity and negative predictive value for CIN Ⅱ,CIN Ⅲ were 77.7%,70.0%and 96.8%.97.4%,respectively.So RCI scoring can increase the diagnostic value of colposcope.
