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目的探讨阴道镜Reid评分(RCI)在宫颈病变早期诊断中的可行性和实用性。方法对在妇科门诊筛查的宫颈细胞学涂片为ASCUS及以上或HPV(+)116例,在影视阴道镜的动态观察下,对分别涂3%醋酸及复方碘溶液后宫颈上皮和血管的改变,运用RCI评分,作出阴道镜诊断并取活检,以病理诊断作为金标准。结果采用RCI评分标准与组织病理结果的完全符合率为76.64%,包括相差一个级别在内者符合率为94.16%。结论 RCI评分法对诊断CIN有较高的应用价值,是规范而客观评估阴道镜图像的必要条件。
Objective To investigate the feasibility and practicability of colposcopy Reid score (RCI) in the early diagnosis of cervical lesions. Methods Cervical cytology smears of gynecological clinics were ASCUS and above or HPV (+) 116 cases. Under the dynamic observation of video colposcopy, the cervical smears of 3% acetic acid and compound iodine solution were applied respectively to the cervical epithelium and blood vessels Changes, the use of RCI score, make colposcopy diagnosis and take biopsy, pathological diagnosis as the gold standard. Results The complete coincidence rate of RCI score and histopathological results was 76.64%, including a coincidence rate of 94.16% including one level difference. Conclusion The RCI score has a high value in the diagnosis of CIN, which is a necessary condition for standardized and objective evaluation of colposcopy images.