上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (2): 171-.

• 专题报道（妇科疾病研究） • 上一篇    下一篇

阴道镜Reid评分对宫颈人乳头瘤病毒感染的诊断价值

李 萍, 陶敏芳   

  1. 上海交通大学 第六人民医院妇产科, 上海 200233
  • 出版日期:2010-02-25 发布日期:2010-02-25
  • 通讯作者: 陶敏芳, 电子信箱: taomf@126.com。
  • 作者简介:李 萍（1971—）, 女, 副主任医师, 硕士；电子信箱: liping365@yahoo.com.cn。
  • 基金资助:

    上海交通大学医工交叉面上课题(YG2007MS05)

Diagnostic value of Reid Scores under colposcopy in cervical human papillomavirus infection

LI Ping, TAO Min-fang   

  1. Department of Obstetrics and Gynecology, The Sixth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200223, China
  • Online:2010-02-25 Published:2010-02-25
  • Supported by:

    Shanghai Jiaotong University Foundation, YG2007MS05

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摘要：

目的 探讨阴道镜Reid评分对宫颈人乳头瘤病毒(HPV)感染的诊断价值。方法 因宫颈疾病行阴道镜检查及宫颈活组织检查者528例，以组织病理学诊断为标准，分析阴道镜Reid评分诊断宫颈HPV感染的价值。结果 阴道镜Reid评分诊断宫颈HPV感染及宫颈上皮内瘤变（CIN）的符合率为52.66%，诊断宫颈低度病变（包括HPV感染和CINⅠ）的敏感性为51.05%，诊断宫颈高度病变（包括CINⅡ和CINⅢ）的敏感性为66.67%；病理诊断为HPV感染者，边界、颜色、血管等评分项目分值与Reid评分总分呈正相关，而边界、颜色分值分别与血管分值无显著相关性。结论 阴道镜检查结合Reid评分对诊断宫颈HPV感染有一定的临床应用价值。

关键词: 阴道镜, Reid评分, 人乳头瘤病毒

Abstract:

Objective To explore the diagnostic value of Reid Scores under colposcopy in cervical human papillomavirus (HPV) infection. Methods Cervical biopsy under colposcopy was carried out for cervical diseases in 528 patients.With pathological findings as criteria, the value of Reid Scores under colposcopy in diagnosis of HPV infection was analysed. Results The coincidence of Reid Scores under colposcopy in diagnosis of HPV infection and cervical intra-epithelial neoplasia (CIN) was 52.66%, with the sensitivity of 51.05% in diagnosis of lowgrade cervical diseases (HPV infection and CINⅠ) and that of 66.67% in diagnosis of high-grade cervical diseases (CINⅡand CINⅢ). For the patients with diagnosis of HPV infection examined by pathology, the scores of items of boundary, color and vessels were positively related to the total Reid Score, while the scores of items of boundary and color were not related to that of vessels. Conclusion There may exist clinical significance in diagnosis of HPV infection by colposcopy in combination with RCI Scores.

Key words: colposcopy, Reid Scores, human papillomavirus