1210例宫颈疾病阴道镜诊断结果分析  

Analysis on diagnostic results of 1 210 cases with cervical diseases with colposcope

作　　者：高娜[1] 郑军[1] 石红[1] 

机构地区：[1]大连医科大学附属第一医院妇产科,辽宁大连116011

出　　处：《中国妇幼保健》2013年第7期1081-1083,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨电子阴道镜检查在宫颈疾病诊断中的应用。方法:2007年3月～2011年3月在大连医科大学附属第一医院宫颈病变门诊进行电子阴道镜检查的1 600例患者中,有1 210例行活组织病理检查,对阴道镜诊断与组织病理学检查结果进行比较分析。结果:活组织病理检查1 210例中,病理诊断为宫颈炎553例,宫颈息肉15例,宫颈尖锐湿疣27例,宫颈上皮内瘤样病变(CIN)Ⅰ236例,CINⅡ～Ⅲ348例,宫颈癌(SCC)31例。诊断符合率分别为:宫颈炎及宫颈息肉97.0%、CINⅠ92.6%、CINⅡ93.2%、CINⅢ68.2%、高度病变(CINⅡ～Ⅲ)91.7%、SCC 80.6%。结论:电子阴道镜检查是诊断宫颈疾病,尤其是CIN和宫颈癌的重要工具,但也存在一定局限性。Objective： To explore the application of electronic colposcopy for diagnosis of cervical diseases. Methods： Among 1 600 patients who underwent electronic colposcopy in outpatient department of cervical diseases in the hospital from March 2007 to March 2011, 1 210 patients received biopsy and pathological examination, then the results of colposcopic diagnosis and histopathological examination were compared and analyzed. Results： Among 1 210 patients receiving biopsy and pathological examination, 553 patients with cervicitis, 15 patients with cervical polyp, 27 patients with cervical condyloma acuminata, 236 patients with cervical intraepithelial neoplasia （CIN） I , 348 patients with CIN Ⅱ and CIN Ⅲ, and 31 patients with cervical squamous cell carcinoma （SCC） were found by pathological examination. The coincidence rates of colposcopic diagnosis and histopathological examination were 97.0% （cervicitis and cervical polyp） , 92. 6% （CIN Ⅰ）, 93.2% （CIN Ⅱ ）, 68.2% （CINⅢ）, 91.7% （CIN Ⅱ and CIN Ⅲ）, and 80.6% （SCC）, respectively. Conclusion： Electronic colposcopy is an important tool to diagnose cervical diseases, especially CIN and cervical SCC, but it has a certain limits.

关 键 词：阴道镜 活组织检查 宫颈疾病 宫颈上皮内瘤样病变(CIN) 

分 类 号：R711.74[医药卫生—妇产科学]