| 赵 健,赵宇倩,王婷婷.R-way阴道镜智能诊断评估技术识别宫颈高级别病变的能力[J].中国肿瘤,2015,24(10):884-888. |
| R-way阴道镜智能诊断评估技术识别宫颈高级别病变的能力 |
| The Capability of R-way Intelligent Colposcopy Evaluation System to Detect High-grade Squamous Intraepithelial Lesion of the Cervix |
| 投稿时间：2014-12-09 |
| DOI：10.11735/j.issn.1004-0242.2015.10.A018 |
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| 中文关键词: R-way阴道镜智能诊断评估 宫颈高级别病变 宫颈癌筛查 阴道镜 |
| 英文关键词:R-way intelligent colposcopy evaluation system high-grade squamous intraepithelial lesion cervical cancer screening colposcopy |
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| 中文摘要: |
| 摘 要：［目的］ 探讨R-way阴道镜智能诊断系统识别宫颈高级别病变的能力。［方法］ 选取498例经阴道镜检查组织病理诊断HSIL+ (包括CIN2、CIN3、原位腺癌、浸润癌）的病例，分析阴道镜不同时间、不同检查下的颜色变化，通过“红厚白”、“红白A”、“红白黄”以及阴道镜观察到出血（溃疡）、细胞学异常ASC-H、HSIL、SCC、AGC+（包括AGC-NOS、AGC-FN）、AIS、Adca作为R-way系统评估方法拟诊宫颈高级别病变的指标。［结果］ R-way系统的5项指标联合评估宫颈高级别病变的灵敏度为94.78%。最常见的异常指标为“红厚白”、“红白A”、“红白黄”以及细胞学异常ASC-H、HSIL、SCC及AGC+。［结论］ R-way诊断系统不同评估指标相结合，可正确识别宫颈高级别病变，但临床应用尚需大样本数据验证其特异度等指标。 |
| 英文摘要: |
| Abstract：［Purpose］ To explore the capability of R-way intelligent colposcopy evaluation system to detect high-grade squamous intraepithelial lesion of the cervix. ［Methods］ The 498 cases of histopathology confirmed HSIL+(CIN2，CIN3，carcinoma in situ，invasive cancer) were selected to observed the changes along with the time and staining. The “red think white”，“red white A (atypical vessels)”，“red white yellow”，bleeding observed under colposcopy and abnormal cytology (ASC-H，HSIL，SCC，AGC including AGC-NOS，AGC-FN，AIS，Adca) were selected as the indicators of R-way evaluation system to detect HSIL+. ［Results］ The accumulation detection rate of the five indicators was 94.78%. The “red think white”，“red white A (atypical vessels)”，“red white yellow” and cytology as ASC-H，HSIL，SCC and AGC+ were the most frequently found abnormal indicators.［Conclusions］ The combination of different indicators of R-way diagnostic system could correctly detect HSIL+ cases. It is promising but larger sample size study is needed to evaluate the specificity and other validation indicators. |
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