阴道镜下宫颈活检在宫颈病变中的诊断价值  

Value of colposcopy guide biopsy in diagnosis of cervial diseases

作　　者：叶庆华[1] 王昕[1] 李艳[1] 王军臣[2] 童晓文[1] 

机构地区：[1]同济大学附属东方医院妇产科,上海200120 [2]同济大学附属东方医院病理科,上海200120

出　　处：《同济大学学报（医学版）》2008年第3期94-96,共3页Journal of Tongji University(Medical Science)

摘　　要：目的探讨阴道镜下宫颈活检诊断宫颈病变的准确性。方法回顾性分析我院近3年门诊行阴道镜下宫颈活检提示为宫颈炎及宫颈上皮内瘤变的病例共1473例,进行宫颈LEEP/锥切术,将病理结果进行比较,分析两者的符合程度,判断阴道镜下宫颈活检在宫颈病变中的诊断价值。结果以宫颈LEEP/锥切术之病理结果作为诊断标准,两者病理结果相符率93.48%(67/102)。102例宫颈上皮内瘤变病例中,LEEP术较活检病理级别降低者占22.55%(23/102);LEEP术较活检病理级别升高者占11.76%(12/102),两种方法结果相比,P>0.05,差异无显著性。结论阴道镜可发现宫颈微小病灶,结合宫颈活检是诊断宫颈病变的有效手段,适用于宫颈癌前病变的早期诊断。Objective To study the accuracy of cervical biopsy by colposcopy in diagnosis of cervial diseases. Methods One thousand four hundred and seventy three patients with cervicitis and cervical intraepithelial neoplasia （CIN） diagnosed by cervical colposcopic biopsy were analyzed retrospectively in our department. Loop electrosurgical excision procedure （LEEP） were used in these patients and compared with the pathology results of biopsy. Results One hundred and two cases （6.92%） of CIN were detected by biopsy. The coincidence of pathology results and LEEP were 93.48% considered as golden standard. There were 22.55% patients having low pathology grades and 11.76% patients had high pathology grades after LEEP in 102 CIN cases. The difference between two ways had no significant. Conclusion Colposcopy examination can find tiny diseases in cervix. Colposcopy combined with cervical biopsy is an effective method in diagnosis of cervical diseases, which can be used in helping early diagnosis of cervical cancer.

关 键 词：阴道镜 宫颈活检 宫颈上皮内瘤样病变 高频电波刀 

分 类 号：R711.32[医药卫生—妇产科学]