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阴道镜Reid评分对HIV感染妇女宫颈病变和HPV感染的诊断价值

张红芸 飞秋月 顾林莉 朱珉 钱虹 王艳

昆明医科大学学报Issue(8):141-143,149,4.
昆明医科大学学报Issue(8):141-143,149,4.

阴道镜Reid评分对HIV感染妇女宫颈病变和HPV感染的诊断价值

The Value of Colposcopic Reid Score in Diagnosis of Cervical Lesions and HPV Infection in Women with HIV Infection

张红芸 1飞秋月 2顾林莉 1朱珉 1钱虹 1王艳1

作者信息

  • 1. 昆明医科大学第一附属医院,云南昆明,650032
  • 2. 曲靖市妇幼医院,云南曲靖,655000
  • 折叠

摘要

Abstract

Objective To explore the value of the electronic colposcopy Reid Score in diagnosis of cervical lesions and HPV infection in women with HIV infection, so as to find out an inexpensive, convenient and feasible screening methods. Methods 95 cases of HIV-infected women were screened by cervical liquid based cytology, HPV testing, colposcopy and Reid Score. The patients with abnormal results in any one test mentioned above underwent cervical biopsy. The colposcopy was combined with pathological as a gold standard for case-control study. Results There was a statistically signi?cant correlation between colposcopic ndings and histopathological ndings and the score was increased as parallel as malignancy grade (r=0.753,P=0.00) . The specificity of Reid score for high grade CIN was better than high-risk HPV testing for CIN diagnosis and the sensitivity was better than liquid based cytology. Acetic acid staining has relatively high sensitivity and specificity in the diagnosis of cervical lesions. Conclusions Colposcope Reid score for cervical lesions has a predictive value, especially for high grade cervical precancerous lesions. Colposcopy for HIV-positive women cervical cancer screening is an efficient and feasible way, especially for the area where lack of medical resources.

关键词

人类免疫缺陷病毒/高危型人乳头瘤病毒/筛查/宫颈病变/阴道镜

Key words

Human immunodeficiency virus/High-risk human papilloma virus/Screening/Cervical lesions/Colposcopy

分类

医药卫生

引用本文复制引用

张红芸,飞秋月,顾林莉,朱珉,钱虹,王艳..阴道镜Reid评分对HIV感染妇女宫颈病变和HPV感染的诊断价值[J].昆明医科大学学报,2013,(8):141-143,149,4.

基金项目

云南省2012艾滋病防治创新项目 ()

昆明医科大学学报

OACSTPCD

1003-4706

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