阴道镜在女性生殖道尖锐湿疣诊断中的应用

    Colposcopy in diagnosis of female genital condylomata acuminata

    • 摘要: 目的: 探讨阴道镜在女性生殖道尖锐湿疣中的诊断价值及其临床意义。方法: 应用阴道镜观察175例女性疑为生殖道尖锐湿疣患者,与其病理检查结果进行对比分析。结果: 阴道镜诊断尖锐湿疣与病理诊断总符合率达90.9%,阴道镜诊断亚临床型尖锐湿疣与病理诊断符合率达86.9%,误诊率为9.1%,两法差异有显著性(P<0.005)。结论: 阴道镜诊断临床型女性生殖道尖锐湿疣的结果准确、可靠,有一定的临床应用价值;其诊断亚临床型女性生殖道尖锐湿疣存在较高误诊率。故可将其作为诊断女性生殖道尖锐湿疣的常规筛选手段,对可疑者再做病理诊断以确诊。

       

      Abstract: Objective: To study the value of colposcopy in the diagnosis of female genital condyloma acuminatum.Methods: One hundred and seventy-five cases of female genital condylomata acuminata were observed with colposcopy and the result was compared with that of pathological study.Results: The accuracy rate was 90.9% in diagnosis of condyloma acuminatum with colposcopy,while it was 86.9% in diagnosis of subclinical condyloma acuminatum.The misdiagnosis rate was 9.1%.The results were significantly different by the two methods (P<0.005).Conclusions: The colposcopy can be used for diagnosis of condyloma acuminatum with a high accuracy rate.But it has a high misdiagnosis rate for subclinical condyloma acuminafum.It may act as a traditional bolting technique,which should be corroborated with pathological study if necessary.

       

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