CAJ | 학술논문

目的：探讨联合应用经阴道彩色多普勒超声(TV-CDU)和电子阴道镜在宫颈癌早期病变诊断中的价值。方法：选择经手术治疗的宫颈癌早期病变患者49例，均行TV-CDU和电子阴道镜检查，分析单独应用TV-CDU、电子阴道镜及两者联合应用诊断宫颈癌早期病变的正确率，并比较两种方法对宫颈早期病变诊断的一致性。结果：单独应用TV-CDU、电子阴道镜及两者联合应用诊断宫颈癌早期病变的正确率分别为77.55%(38/49)、81.63%(40/49)和91.84%(45/49)。TV-CDU和电子阴道镜对宫颈癌早期病变诊断的吻合系数κ＝-0.128。结论：联合应用TV-CDU与电子阴道镜诊断宫颈癌早期病变有突出的临床应用价值。
목적：탐토연합응용경음도채색다보륵초성(TV-CDU)화전자음도경재궁경암조기병변진단중적개치。방법：선택경수술치료적궁경암조기병변환자49례，균행TV-CDU화전자음도경검사，분석단독응용TV-CDU、전자음도경급량자연합응용진단궁경암조기병변적정학솔，병비교량충방법대궁경조기병변진단적일치성。결과：단독응용TV-CDU、전자음도경급량자연합응용진단궁경암조기병변적정학솔분별위77.55%(38/49)、81.63%(40/49)화91.84%(45/49)。TV-CDU화전자음도경대궁경암조기병변진단적문합계수κ＝-0.128。결론：연합응용TV-CDU여전자음도경진단궁경암조기병변유돌출적림상응용개치。
Objective:To investigate the values of transvaginal color Doppler ultrasonography (TV-CDU) and electronic colposcope in the diagnosis of early cervical cancer. Methods: 49 patients with pathologically confirmed cervical cancer were detected by both TV-CDU and electronic colposcope before surgery. The diagnostic accuracies of TV-CDU, electronic colposcope and combination of them were analyzed. Their diagnostic concordance was also analyzed. Results:The accuracy of diagnosing early cervical cancer was 77.55%(38/49) by TV-CDU, 81.63%(40/49) by electronic colposcope and 91.84%(45/49) by combination of them. There was less concordance in the diagnosis of early cervical cancer between TV-CDU and electronic colposcope (κ=-0.128). Conclusion:The combination of TV-CDU and electronic colposcope is useful in the diagnosis of early cervical cancer.