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目的探讨液基细胞学(TCT)联合阴道镜下组织病理学检查对宫颈病变的筛查价值。方法选择妇科门诊519例临床可疑患者进行宫颈痛变筛查,其中268例妇女做TCT检查联合阴道镜活检(实验组),251例直接阴道镜检查活检(对照组),最终均以组织学诊断为金标准,比较两组组织学诊断阳性符合率。结果实验组组织学诊断阳性符合率为72% (193/268);对照组为50.1%(126/251)。两组诊断符合率比较差异有高度显著性(x~2=388.62,p<0.005)。
Objective To investigate the screening value of liquid-based cytology (TCT) combined with colposcopy histopathological examination of cervical lesions. Methods A total of 519 clinically suspected cases of gynecological outpatients were screened for cervical pain. 268 women underwent colposcopy biopsy (experimental group) and 251 colposcopy colposcopy biopsies (control group), all of whom were diagnosed histologically As the gold standard, the positive rate of histological diagnosis was compared between the two groups. Results The positive rate of histological diagnosis was 72% (193/268) in the experimental group and 50.1% (126/251) in the control group. The diagnostic accuracy of the two groups was highly significant (x ~ 2 = 388.62, p <0.005).