阴道镜在宫颈上皮内瘤变诊断中的临床价值  

Diagnostic value of colposcopy in early diagnosis of cervica intraepithelial neoplasia

作　　者：周波[1] 李能[1] 詹望凤[1] 

机构地区：[1]南华大学附一医院妇产科,湖南衡阳421001

出　　处：《国际医药卫生导报》2008年第16期20-23,共4页International Medicine and Health Guidance News

摘　　要：目的评价阴道镜在宫颈上皮内瘤变（CIN）早期诊断中的应用价值。方法回顾性分析380例宫颈组织学诊断为CIN的病例，与阴道镜检查的诊断结果进行对比研究。结果宫颈组织学诊断的380例CIN中，CINⅠ168例、CINⅡ151例、CINⅢ52例、原位癌9例，与阴道镜检查的诊断结果的符合率分别为66．9％、80．3％和96．3％。白嵌二联征、白嵌点三联征与宫颈癌的组织学诊断符合率为77．6％，96．3％。结论阴道镜诊断子宫颈病变的结果准确，可靠，与病理学结合可提高宫颈病变诊断准确率，对CIN筛选有重要价值。其诊断低度鳞状上皮内瘤变存在假阳性，而诊断高度鳞状上皮内瘤变有较高的敏感性。Objective To investigate the clinical of cervical intraepithelial neoplasia. Methods value of colposcopy in early diagnosis 380 cases with CIN were retrospectively reviewed in the study. The results were compared with pathological diagnosis. Results The results of pathological diagnosis were 380 patients with CIN, including 168 cases of grade Ⅰ, 22 cases of grade Ⅱ, 7 cases of gradeⅢ. 251cases, 172 cases and 63 cases （66. 9%, 80.3%, 96.3%） matched to results of colposcopy. Twin signs, triple signs and cervical carcinoma were 77.6% and 96.3% tallying with the diagnosis of cervical lesions. Conclusion Colposcopy was a good method for finding CIN. Combining with pathological diagnosis will increase the accuracy. It is quite sensitive in diagnosis of severe cervical lesions. However, there was a relative high false negative rate in diagnosing mild cervical lesions.

关 键 词：阴道镜 宫颈上皮内瘤样病变 早期诊断 

分 类 号：R737[医药卫生—肿瘤]