视觉检查方法与巴普涂片的比较作为宫癌前病变的查测试
Jyoti Yadav1, Shubhra Agarwal1, Aayushi Jain1
1Department of Obstetrics and Gynaecology, Teerthanker Mahaveer Medical College and Research Centre, Teerthanker Mahavir University, Moradabad, India.
Journal of mid-life health
|May 20, 2024
概括
像VIA和VILI这样的视觉检查方法在检测前恶性宫病变方面比巴氏涂抹更准确. 这些视觉方法为宫癌提供了一种经济有效和快速查的替代方案.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 宫癌查对于早期发现癌前病变至关重要.
- 帕普查是一种常见的查方法,但其有效性可能有限.
- 视觉检查方法为宫癌查提供了潜在的替代方案.
研究的目的:
- 将视觉检查方法 (VIA和VILI) 的诊断准确性与用于检测子宫前恶性病变的巴氏涂抹进行比较.
- 评估每个查方法的敏感性,特异性和准确性.
主要方法:
- 在18个月内进行了一项观察性前性研究.
- 参与者接受了帕帕尼科劳涂抹 (Pap smear),用酸视觉检查 (VIA) 和用卢戈尔 (VILI) 进行视觉检查.
- 对阳性病例进行了结肠镜检查和宫活检.
主要成果:
- 使用乙酸 (VIA) 进行的视觉检查显示,与帕普涂抹相比,灵敏度 (84.21%) 和准确度 (83.33%) 较高 (灵敏度为52.63%,准确度为54.17%).
- 使用Lugol的 (VILI) 的视觉检查也显示了比帕普涂抹更好的灵敏度 (73.68%) 和准确度 (70.83%).
- 结肠镜检查的高灵敏度和准确度与VIA.相同.
结论:
- 视觉检查方法 (VIA和VILI) 是有效的,具有成本效益的,易于应用的查工具,用于宫前恶性病变.
- 与帕普检查相比,VIA和VILI在速度和易用性方面具有优势.
- 这些视觉方法可以促进宫病变的及时管理.
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