阴道镜下宫颈活检准确度影响因素分析

发布时间：2018-01-21 10:00

本文关键词： 阴道镜宫颈活检影响因素　出处：《中国医疗器械信息》2016年14期 　论文类型：期刊论文

【摘要】：目的:通过回顾性分析本院施行阴道镜下宫颈病变活检的病例资料,探讨阴道镜下宫颈活检准确度的影响因素。方法:2013年1月至2016年1月,本院513例施行冷刀锥切和LEEP刀手术术患者,比较活检病理结果和手术病理诊断结果,影响阴道镜下宫颈活检准确度的因素。结果:(1)诊断符合率为:66.67%;(2)影响阴道镜下宫颈活检准确度的因素包括年龄、活检数量、转化区类型,年龄40岁准确度(96.67%)明显高于年龄40岁(70.42%),活检数量2准确度(68.05%)明显低于活检数量3准确度(97.5%),转化区类型I型准确度为88%,II型准确度为85%,III型准确度为69.89%,I型和II型的准确度明显高于III型的准确度,差异显著,有统计学意义(P0.05)。结论:阴道镜是临床筛查宫颈癌的重要工具,但是存在一定的局限性,必须对这些局限性的因素进行深入的了解,从而在临床诊断和治疗上综合考虑各方面的影响因素,提高阴道镜下宫颈活检的准确度,避免漏检和治疗不足的出现。
[Abstract]:Objective: to study the factors influencing the accuracy of cervical biopsy under colposcopy by retrospectively analyzing the data of cervical biopsy under colposcopy in our hospital. Methods: from January 2013 to January 2016. In our hospital, 513 patients underwent cold knife conical resection and LEEP knife operation, and the pathological results of biopsy were compared with those of surgical pathology. Results the accuracy of cervical biopsy under colposcopy was 1: 66.67%. (2) the factors influencing the accuracy of cervical biopsy under colposcopy included age, number of biopsy, type of transformation area, accuracy of 40 years old (96.67%), which were significantly higher than that of 40 years old (70.42%). The accuracy of biopsy was significantly lower than that of biopsy. The accuracy of type I was 88.05 and the accuracy of type II was 85%. The accuracy of type I and type II of III was significantly higher than that of type III, and the difference was significant. Conclusion: colposcopy is an important tool for clinical screening of cervical cancer, but there are some limitations. In order to improve the accuracy of cervical biopsy under colposcopy and avoid the appearance of missing detection and insufficient treatment, the factors affecting the clinical diagnosis and treatment were considered comprehensively.
【作者单位】：福建医科大学附属龙岩第一医院妇科;
【分类号】：R737.33
【正文快照】： 宫颈癌是临床发病率较高的女性生殖系统疾病,具有较大的危害性,给女性患者的生命和健康造成严重的威胁。目前,临床诊断宫颈病变的常规方式是采用阴道镜对宫颈部位进行定位活检,能够对宫颈的病变情况进行组织学的诊断[1~2]。所以,要准确地诊断宫颈病变和防止宫颈癌,必须及时采

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