Analysis of the Clinical Application Value of Colposcopy Biopsy in the Screening of Cervical Precancerous Lesions

Yan Wang, Mindan Xu
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Abstract

Objective: To analyze the value of colposcopy biopsy in the screening of cervical precancerous lesions. Methods: 5,000 patients with suspected cervical precancerous lesions were used as samples. From January 2020 to December 2022, pathological examination and colposcopy biopsy were carried out, and the value of colposcopy biopsy was analyzed. Results: 1,503 cases were positive and 3,497 cases were negative by pathology, whereas 1,432 cases were positive and 3,568 cases were negative by colposcopy biopsy. The diagnostic sensitivity, specificity, and accuracy of colposcopy biopsy were 99.69%, 94.54%, and 97.78%, respectively. Cervicitis, CIN Ⅰ grade, CIN Ⅱ grade, CIN Ⅲ grade, and cervical cancer had no statistical difference with the pathological examination (P > 0.05). Conclusion: The colposcopy biopsy scheme is used in the screening of cervical precancerous lesions, the detection accuracy is high in consistency with the pathological results, the risk of missed diagnosis and misdiagnosis is low, and it is efficient and feasible.
阴道镜活检在宫颈癌前病变筛查中的临床应用价值分析
目的:分析阴道镜活检在宫颈癌前病变筛查中的价值。方法:以5000例疑似宫颈癌前病变患者为样本。2020年1月至2022年12月进行病理检查和阴道镜活检,分析阴道镜活检的价值。结果:病理检查阳性1503例,阴性3497例;阴道镜活检阳性1432例,阴性3568例。阴道镜活检诊断的敏感性为99.69%,特异性为94.54%,准确性为97.78%。宫颈炎、CINⅠ分级、CINⅡ分级、CINⅢ分级、宫颈癌与病理检查比较无统计学差异(P >0.05)。结论:阴道镜活检方案用于宫颈癌前病变筛查,检测准确率与病理结果一致性高,漏诊、误诊风险低,高效可行。
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