Cervical Cancer to See the Evaluation of the Effectiveness of Colposcopy in Iraqi Women

Dr. Muna Kadhum Farhood Malla, Dr. Massar Raheem Abbas, Dr. Zena Hataf Salih
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Abstract

Background: One of the leading causes of female death in developing nations is cervical cancer, which accounts for one-fourth of all cases globally. Objective: This paper was focused to assess the outcomes of cervical cancer to see the evaluation of the effectiveness of colposcopy in Iraqi women. Patients and methods: This paper was represented as a cross-sectional study to assess the outcomes of cervical cancer to see the evaluation of the effectiveness of colposcopy in Iraqi women where to include from 25th August 2021 to 16th July 2022 into, 50 patients for ages between 25-50 years. This paper was analysed and examine of clinical features for cervical cancer by the SPSS program. Discussion: The specificity of the Swede score was scoring with seven or above was 87% in the current investigation, while the sensitivity for high-grade lesions was 92%. The threshold was lowered to 5, which boosted the sensitivity reached 72.42% and the specificity to 82%. Using a threshold of 5 for the Swedish score, the accuracy of the value of positive prediction is 75.48%. The accuracy considerably increased to 93.28% if the cutoff for the Swede score was set at 7. The results were similar to those that Bowring et al., as well as Strander et al., had previously reported. Conclusion: This study shows the Swede score was good as screening modalities as performance assessed of patients who have lower abdominal pain and discharge per vaginam as well as dyspareunia, abnormal uterine bleeding which colposcopy conducted into pointing of suspicious cervix with the unhealthy case. In comparison between the Swede score >5 and >7, our study noticed Swede score have a sensitivity of 92%, Specificity of 87%, and Accuracy of 93.28% were more perfect in compare with >5.
伊拉克妇女阴道镜检查对宫颈癌疗效的评价
背景:宫颈癌是发展中国家女性死亡的主要原因之一,占全球所有病例的四分之一。目的:评价伊拉克妇女宫颈癌的预后,评价阴道镜检查的有效性。患者和方法:本文是一项横断面研究,评估宫颈癌的结果,以评估阴道镜检查在伊拉克妇女中的有效性,其中包括从2021年8月25日到2022年7月16日的50名患者,年龄在25-50岁之间。本文采用SPSS软件对宫颈癌的临床特征进行分析和检验。讨论:在目前的调查中,瑞典评分为7分及以上的特异性为87%,而对高级别病变的敏感性为92%。将阈值降低至5,灵敏度达到72.42%,特异度达到82%。瑞典分数的阈值为5,阳性预测值的准确率为75.48%。如果瑞典得分的分界点设置为7,准确率将大大提高到93.28%。结果与Bowring等人以及Strander等人之前报道的结果相似。结论:本研究显示,对于有下腹痛、阴道分泌物、性交困难、异常子宫出血的患者,经阴道镜检查指向可疑子宫颈与不健康病例,瑞典评分较好。在瑞典评分>5和>7的比较中,我们的研究发现瑞典评分的敏感性为92%,特异性为87%,准确性为93.28%,与>5的评分相比更完美。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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