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目的:探究阴道镜在宫颈病变诊断中的临床价值,为宫颈病变的临床诊断提供理论依据。方法:采用随机数字表法将226例患者分为两组,对照组行常规检查后再行病理活检,观察组行阴道镜检查后再行病理活检,比较两组的检查结果,探讨阴道镜的诊断效果。结果:观察组的病理活检阳性检出率高于对照组,P<0.05,临床检查结果为观察组检查的敏感度、特异度和准确率均高于对照组,P<0.05。结论:阴道镜对子宫颈病变的临床诊断具有不可替代的作用,且阴道镜的检查具有无创性、可重复性,能够动态反映患者的病情,已成为防治子宫颈癌变的重要方式之一,同时在一定程度上提高了病理活检的阳性率,联合检查可显著提高CIN和宫颈癌早期的诊断水平,减少误漏诊,为临床治疗宫颈病变提供了可靠的依据,值得临床推广。
Objective: To explore the clinical value of colposcopy in the diagnosis of cervical lesions and provide a theoretical basis for the clinical diagnosis of cervical lesions. Methods: A total of 226 patients were divided into two groups according to the random number table method. The control group was routinely biopsied and pathologically biopsied. The observation group underwent colposcopy and pathological biopsy. The results of the two groups were compared. Diagnostic effect. Results: The positive rate of biopsy in the observation group was higher than that in the control group (P <0.05). The results of the clinical examination showed that the sensitivity, specificity and accuracy of the observation group were higher than those of the control group (P <0.05). CONCLUSION: Colposcopy plays an irreplaceable role in the clinical diagnosis of cervical lesions. Colposcopy is noninvasive and reproducible and can reflect the patient’s condition dynamically. It has become one of the important ways to prevent cervical cancer. At the same time To a certain extent, the positive rate of pathological biopsy was improved. The combined examination could significantly improve the early diagnosis of CIN and cervical cancer and reduce misdiagnosis, which provided a reliable basis for the clinical treatment of cervical lesions and deserved clinical promotion.