| TCT、阴道镜下活检和LEEP 对CIN 诊断价值的比较 |
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| 引用本文： | 姚旭阳陈惠贞孙曼莉陈湘雅.TCT、阴道镜下活检和LEEP 对CIN 诊断价值的比较[J].现代生物医学进展,2011,11(10):1965-1968. |
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| 作者姓名： | 姚旭阳陈惠贞孙曼莉陈湘雅 |
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| 作者单位： | 湖南株州恺德医院,湖南,株洲,412000 |
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| 摘 要： | 目的:评价TCT检查、阴道镜活检和LEEP活检在宫颈上皮内瘤变(CIN)诊断中的价值,比较其差异。方法:对324例经TCT加阴道镜下活检诊断为CIN的患者进一步行LEEP,采用对比研究TCT、阴道镜下活检和IEEP活检病理结果。结果:TCT检查与阴道镜活检诊断结果的完全符合率为65.1%,TCT结果与LEEP活检病理学诊断结果的完全符合率为69.4%,诊断过度11.4%,诊断不足18.5%。阴道镜下宫颈活检结果与LEEP活检病理学诊断结果的完全符合率为68.2%,诊断过度21.9%,诊断不足9.3%,后两种方法的诊断结果差异有统计学意义(P<0.01)。结论:TCT是辅助诊断CIN的有效方法;单独阴道镜下活检诊断CIN的准确性尚不够理想,阴道镜下活检不能替代LEEP活检;TCT诊断CIN者在初次治疗时可用LEEP一次完成诊断和治疗。
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| 关 键 词： | TCT 阴道镜 CIN 宫颈环形电切术 |
Comparison of TCT, Colposcopically Directed Biopsy and Loop
Electrosurgical Excision Procedure in Diagnosis of Cervical Intraepithelial
Neoplasia |
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| YAO Xu-yang,CHEN Hui-zhen,SUN Man-li,CHEN Xiang-ya.Comparison of TCT, Colposcopically Directed Biopsy and Loop
Electrosurgical Excision Procedure in Diagnosis of Cervical Intraepithelial
Neoplasia[J].Progress in Modern Biomedicine,2011,11(10):1965-1968. |
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| Authors: | YAO Xu-yang CHEN Hui-zhen SUN Man-li CHEN Xiang-ya |
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| Institution: | (Kai-de minimally invasive surgery Hospital of Hunan,Zhuzhou,412000,China) |
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| Abstract: | |
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| Keywords: | TCT Colpescopy Cervical intraepithelial neoplasia Cervical loop electrosurgical excision procedure |
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