摘要
目的探讨复方醋酸染色(VIA)联合阴道镜法在宫颈癌前病变筛查中的临床价值。方法选择52例行宫颈癌筛查患者为研究对象,患者均予以VIA联合阴道镜法检测、宫颈液基细胞学(TCT)联合人乳头瘤状病毒(HPV)进行检查,以手术病理结果作为宫颈癌筛查的金标准,评估VIA联合阴道镜法检查的有效性。结果VIA联合阴道镜法检测与病理结果的一致性为53.57%;TCT联合HPV筛查与病理结果的一致性为55.17%;VIA联合阴道镜与TCT联合HPV筛查的特异度、敏感度、准确度比较,差异均无统计学意义(P>0.05)。结论宫颈癌前病变筛查中采用复方醋酸染色联合阴道镜法应用优势明显,诊断效能不低于TCT联合HPV检查,且更易于在经济欠发达地区推广。
Objective To investigate the clinical value of compound acetic acid staining(VIA)combined with colposcopy in screening cervical precancerous lesions.Methods A total of 52 patients undergoing cervical cancer screening were selected as the study subjects,all of whom were examined by VIA combined colposcopy,and by TCT combined with human papillomavirus(HPV).The results of surgical pathology were used as the gold standard for cervical cancer screening,and the effectiveness of VIA combined colposcopy was evaluated.Results The consistency between the pathological results by colposcopy and VIA was 53.57%.The consistency between TCT combined with HPV screening and pathological results was 55.17%.There was no significant difference in the specificity,sensitivity and accuracy of HPV screening between VIA combined colposcopy and TCT combined(P>0.05).Conclusion The application of compound acetic acid staining combined with colposcopy in the screening of cervical precancerous lesions has obvious advantages,and the diagnostic efficacy is not lower than that of TCT combined with HPV examination,and it is easier to promote in economically underdeveloped areas.
作者
须国英
Xu Guoying(Department of Obstetrics and Gynecology,Jiangyin Liver and Gallbladder Hospital of Traditional Chinese Medicine,Wuxi 214404,China)
出处
《实用妇科内分泌电子杂志》
2024年第10期91-93,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫颈癌前病变
复方醋酸染色
阴道镜法
筛查价值
Cervical precancerous lesions
Compound acetic acid staining
Colposcopy
Screening value
