宫颈环形电切术对108例阴道镜活检诊断宫颈上皮内瘤变的再评估  

Reappraisal on cervical in 108 traepithelialneopliasia based on punchbiopsy and colposcopical diagnosis through cervical conization by loop electrosurgical excision procedure

作　　者：陈文波[1] 范盈盈[1] 鲍红霞[1] 

机构地区：[1]宁波市医疗中心李惠利医院产科,浙江省宁波315041

出　　处：《中国基层医药》2007年第9期1504-1505,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的通过宫颈环形电切术(LEEP)对阴道镜活检诊断宫颈上皮内瘤变(GIN)的准确性进行评估。方法回顾性分析阴道镜下活检诊断为CIN,并于短期内行宫颈环切术(LEEP)的108例患者资料。采用自身对照法,对比研究阴道镜下活检和最终病理结果。结果LEEP后病理结果与阴道镜下活检相符69例,升级24例,降级15例。阴道镜下检查不满意者活检与电环切除术后病理对比,升级率大于阴道镜下检查满意者,差异有统计学意义(P<0.01)。结论LEEP术是明确诊断和治疗CIN的有效而理想的方法,阴道镜活检有一定局限性。Objective To evaluate the perfectibility of eoiposcopy directed biopsy for the diagnosis of cervical intraepithelial（CIN） through cervial conization by loop electrosurgical excision procedure（LEEP）. Methods Biopsy by colposcopy and biopsy after LEEP were analyzed retrospectively in 108 cases of cervical intraepithelial neoplasia to study the related factors of affecting the coincidence rate. Results Comparison of pathological hanges following both LEEP and colposcopy showed that 69 cases were the same,24 upgrade,and 15 downgrade. Conclusion LEEP is a kind of effective and perfect method for the specific diagnosis and treatment of CIN. Colposcopically directed biopsy has its limitations.

关 键 词：阴道镜检查 宫颈上皮内瘤变 宫颈环切术 

分 类 号：R737.33[医药卫生—肿瘤]