宫颈细胞学检查联合阴道镜下定位活检对早期宫颈癌筛查的临床意义  

The clinical meaning of colposcopic inspection and biopsy to screen to early cervical carcinoma

作　　者：丁丽[1] 张永善[1] 葛彦欣[1] 尹德娥[1] 刘辉[1] 

机构地区：[1]山东省日照市人民医院妇产科,276826

出　　处：《中国妇幼保健》2007年第26期3650-3651,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨宫颈细胞学检查联合阴道镜下定位活组织检查(活检)对早期宫颈癌筛查的临床意义。方法:对2005年8月～2006年10月应用LEICA阴道镜检查慢性宫颈炎患者210例,并对有异型上皮及血管的病例90例在阴道镜下做定位活检,并进行病理学检查。设同期常规四点活检病例78例为对照组。将两组病例的宫颈癌及癌前病变(宫颈鳞状上皮不典型增生)的检出率进行统计学分析。结果:宫颈细胞学检查联合阴道镜下定位活检与常规四点活检相比对早期宫颈癌及癌前病变(宫颈鳞状上皮不典型增生)的检出率大大提高,比较有显著性差异(P<0.05)。结论:阴道镜下定位活检对早期宫颈癌筛查、诊断、预防及追踪观察有重要的临床意义。Objective： To explore the clinical meaning of colposcopic inspection and biopsy. Methods： Colposcopic inspections were performed on 210 women with chronic cervicitis between August 2005 and Oct 2006 in our hospital. Biopsy were performed on 90 cases with charatervistic epithelium and vascular changes under colposcope. 78 cases with routine four nodes biopsy of similar age were used as control group. Results： Comparing the checkout rate of cervical carcinoma and cervical intraepithelial neoplasia with the two groups by statistic. There were extremely significant differences between them （P 〈 0. 05） . Conclusion： The colposcopic inspection and biopsy are effective in screen, diagnosis, prevention and inspection to early cervical carcinoma.

关 键 词：宫颈癌 癌前病变 阴道镜 病理检查 

分 类 号：R737.33[医药卫生—肿瘤]