【摘要】 目的 评价宫颈脱落细胞计算机辅助细胞检测(CCT)在宫颈病变诊断中的准确度及应用价值。方法 对392例宫颈脱落细胞CCT异常者同期行阴道镜诊断及宫颈组织病理学检查。结果 组织学结果较CCT病变程度重者12.50%，较CCT病变程度轻者9.18%，组织学与CCT一致者78.32%，CCT诊断CIN的敏感度为72.67%，准确度78.06%，特异度84.19%;组织学结果较阴道镜诊断程度重者8.67%，较阴道镜诊断程度轻者12.75%，组织学结果与阴道镜诊断一致者78.58%;阴道镜诊断CIN的敏感度为82.49%，准确度为79.85%，特异度77.67%。结论 CCT、阴道镜检查均与病理组织学有一定的相关性，同时存在一定的差异，CCT检查只能作为筛查宫颈病变的参考指标，而不能确定病变部位和程度，CCT配合阴道镜行宫颈组织病理学检查可提高宫颈病变诊断率。

    and pathological biopsy:report of392cases of cervical changes

    Huang Yanbo，Chen Yu，Sang Zilan.

    Department of Obstetrics and Gynecology，Gongbei Hospital of Zhuhai，Zhuhai519020.

    【Abstract】 Objective To assess the accuracy and the applicable of computer cytological test(CCT)in diagˉnosis of early cervical changes.Methods Colposcopy examination and pathological biopsies were taken in392cases with abnormal findings by CCT.Results There were12.50percents of cases that it was severe in pathological biopsy than that in CCT，there were9.18percent of cases that was slighter in CCT，there were78.32%cases in accordance with CCT diagnosis，the sensitiv

    ity and accuracy ......