阴道镜下定位活检诊断宫颈病变375例分析  

The Analysis of Colposcopy Usage in Diagnoses of Cervical Neoplasia in 375 Patients

作　　者：唐政平[1] 郭成秀[1] 

机构地区：[1]天津市中心妇产科医院,天津300052

出　　处：《国际生殖健康／计划生育杂志》2008年第4期261-262,F0003,共3页Journal of International Reproductive Health/Family Planning

摘　　要：目的:探讨阴道镜在宫颈病变诊断中的临床应用价值。方法:选择375例高危病例,经阴道镜检查诊断,行宫颈多点活检,以组织病理学为诊断金标准。结果:阴道镜诊断宫颈病变的符合率分别为:宫颈炎84.2%,CINI^II级83.3%,CINⅢ级93.1%和浸润癌100%。结论:通过阴道镜对宫颈细微结构的观察,镜下定位使活检目标更具准确性,提高了活检的阳性率。Objective： To investigate the value of colposcopy in diagnoses of cervical neoplasia. Methods： Multiple cervical biopsy was performed in 375 high-risk patients using colposcopy, and pathology was as a gold standard for diagnoses. Results： The corresponding rate of the colposcopy with the pathology was 84.2% in cervicitis, 83.3% in CIN Ⅰ-Ⅱ, 93.1% in CIN Ⅲ and 100% in invasive cervical carcinoma, respectively. Conclusions： Colposcopic biopsy can make the cervical diagnoses more accurate and effective, it＇s an good method to find the mild cervical neoplasia early.

关 键 词：阴道镜 宫颈上皮内瘤样病变 宫颈癌 宫颈薄层液基细胞学涂片 人乳头状瘤病毒感染 

分 类 号：R737.33[医药卫生—肿瘤]