1995년 9월에서 1996년 3월 사이에 충남대학교 병원 산부인과 외래를 방문한 환자중 169명을 대상으로 한 자궁경부확대 촬영술과 이와 병행해서 시행한 세포진검사의 결과는 다음과 같다. 1. 자궁경부확대촬영술의 민감도는 78.8%, 특이도는 86.3%, 양성예측율은 71.9% 음성예측율은 90.1%, 위음성율은 713.7% 위양성율 21.2%이었다. 2. 세포진검사의 민감도는 84.6%, 특이도는 92.3% 양성예측율은 83.0% 음성예측율은 93.1%, 위음성율은 7.7%, 위양성율은 15.4%이엇다. 3. 세포진검사와 자궁경부확대촬영술과 세포진검사를 병행한 경우에 민감도는 96.1%로 자궁경부확대촬영술간에 민감도와 특이도는 유의한 차이가 없었다. (p=0.449, p=0.139) 4.자궁경부확대촬영술과 세포진검사를 병행한 경우에 민감도는 96.1%로 자궁경부확대촬영술과 세포진검사 각각의 민감도 보다 높았으나 (p=0.008, p=0.047), 특이도는 80.3%로 세포진검사에 배해 낮았다. (p=0.008). 이상의 결과로 보아 자궁경부확대 촬영술은 세포진 검사와 병행하여 사용할 경우 자궁경부암의 검출용을 높혀주고 상호 보완적인 역활을 할것으로 생각되었다.

Cervicography is an adjunct method of cervical cancer screenign intended to complement papanicolaou smear. Cervicography involves obtaing and evalutionag a photographic image of the cervix. the purpose of this investigation was to evalute the efficacy of cervicography in cervicla cancer screening. Papanicolaou smear and cervigram data were obtainde for 169 patients who visited Department of Obstetrics and Gynecology, Chungnam Nationa University Hospital form September 1995 to march 1996. Those women in whom abnormalities were detected by either test subsequently obtained histologic specimen. the resunt wre as follows: 1. the sensitivity and the specificity of cervicography was 78.8% and 86.3% respcetively. 2. the positive predictive value, negative predictive value, false negative rate, and false positive rate of cervicography were 71.9%, 90.15%, 13.7%, 21,2% respectively. 3. The sensitivity and the specifictiy of Papanicolaou smear was 84.6% and 92.3% respectivesly. 4. the positivie predictive value, negative predictive value, false negative rate, and false positive rate of Papanicoloau smear were 83.0%, 93.1%, 7.7%, 15.4% respecitively. 5. There was no significant difference between the sensitiviey and the specificity of cervicography and Papanicolaou smear (p=0.449, p=0.139) 6. When cervicography and Papanicolaou smear were used donjointly, the sensitivity was higher than for cervicography or Papanicolaou smear used alone (96.1% vs 78.8% p= 0.008, 96.1% vs 86.3%. p=0.047) However the specificity of the combined tests was lower than Papanicicolaou smear(80.3% vs 92.3% p=0.008). Cervicography is a useful method to detect cevical cancer. Howerver when cervigrams are used in conjuction with Papanicolaou smear, the detection rate of cervical cancer will be increased.