论文部分内容阅读
目的:通过比较3种常用方法,以期找到宫颈癌早期筛查的最佳方案。方法:2013年5月~7月,依托大兴安岭地区人民医院,通过定期的公益活动宣传和组织育龄妇女体检,选取妇科门诊接诊病例50例,以病理检查作为金标准,采用肉眼观测辅以醋酸及碘试验、阴道镜检查、液基细胞学检查3种常用方法,对比其敏感性、特异性、准确性、阳性预测值、阴性预测值。结果:3种检测方法依次为:肉眼观测辅以醋酸及碘试验(33.33%、74.47%、72.00%、7.69%、94.59%),阴道镜检查(33.33%、91.49%、88.00%、20.00%、95.56%),液基细胞学检查(66.67%、97.87%、96.00%、66.67%、97.87%)。结论:肉眼观测辅以醋酸和碘试验诊断价值比较低;液基细胞学检测为宫颈癌早期筛查的可选方法,阴道镜检测不适用于早期筛查。
Objective: To compare the three commonly used methods in order to find the best solution for early screening of cervical cancer. Methods: From May to July 2013, based on the Daxinganling Regional People’s Hospital, 50 regular gynecological activities were conducted to publicize and organize the physical examination of women of childbearing age. Fifty cases of gynecological outpatient visits were selected. The pathological examination was taken as the gold standard. And iodine test, colposcopy, liquid-based cytology three commonly used methods to compare the sensitivity, specificity, accuracy, positive predictive value, negative predictive value. Results: The three methods were as follows: visual inspection supplemented with acetic acid and iodine (33.33%, 74.47%, 72.00%, 7.69%, 94.59%), colposcopy (33.33%, 91.49%, 88.00%, 20.00% 95.56%), liquid-based cytology (66.67%, 97.87%, 96.00%, 66.67%, 97.87%). CONCLUSION: The diagnostic value of visual inspection supplemented with acetic acid and iodine is relatively low. Liquid-based cytology is an alternative method for early screening of cervical cancer. Colposcopy is not suitable for early screening.