阴道镜联合病理活检对宫颈病变筛查的价值  

Evaluation of Colposcopic Biopsy in Screening of Cervical Pathological Changes

作　　者：陈杰[1] 陈忠东[2] 

机构地区：[1]南华大学第三附属医院妇产科,湖南衡阳421900 [2]南华大学第一附属医院妇产科

出　　处：《南华大学学报（医学版）》2010年第3期393-396,共4页Journal of Nanhua University(Medical Edition)

摘　　要：目的评价阴道镜联合病理活检对宫颈病变的诊断价值。方法应用电子阴道镜检查与病理活检合用对宫颈病变进行筛查,以病理组织学诊断为标准,对结果进行分析。结果电子阴道镜检查6 812例,3 042例在阴道镜下活检,病理结果显示:宫颈癌54例(1.78%),宫颈上皮内瘤样变(C IN)270例(8.88%),其中C INⅠ级138例(4.54%),C INⅡ级68例(2.24%),C INⅢ级38例(1.25%),C IN合并湿疣26例(0.85%);湿疣12例(0.39%);慢性宫颈炎2 700例(88.75%);其他6例。结论电子阴道镜检查联合镜下病理活检更利于早期宫颈癌和癌前病变的检出,对宫颈病变的诊断具有重要的价值。Objective To investigate the clinical value of Colposcopic biopsy in diagnosis of cervical lesions. Methods Electronic Colposcopy combined with pathological biopsy was applied to screen cervical lesions,and the results were analyzed according to pathohistology. Results In 6 812 patients,3 042 of which had gone through histopathologic examination,which proved 54 cases of them（1.78%）with cervical cancer,270 cases（8.88%）with cervical intrapithliass neoplasia（CINI-Ⅲ）（CIN-I 138 cases（4.54%）,CIN-II 68 cases（2.24%）,CIN-III 38 cases（1.25%））;co-infection of CIN and condyloma acuminatum（CA） 26 cases（0.85%）;Condyloma Acuminate 12 cases（0.39%）;the chronic cervicitis 2700 cases（88.75%）;the rest 6 cases. Conclusion Electronic colposcopy combined with pathological biopsy is more propitious to screen early cervical cancer and precancerous lesion.It is of great value for cervical disease diagnosis.

关 键 词：阴道镜检查 病理检查 宫颈病变 

分 类 号：R711.74[医药卫生—妇产科学]