规范化阴道镜检查及其注意事项  

Standardized colposcopy and the related precautions

作　　者：孔东丽 李双[1] KONG Dong-li;LI Shuang(Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]中科技大学同济医学院附属同济医院妇产科,湖北武汉430030

出　　处：《中国实用妇科与产科杂志》2020年第7期592-596,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家自然科学基金(81974410,81572571,81630060,81472783)。

摘　　要：规范化阴道镜检查旨在提高下生殖道和肛周区域高级别鳞状上皮内病变及以上病灶检出率,指导阴道镜下活检、治疗和随访的管理,并尽量降低损害。临床工作中应实施基于风险量化管理的阴道镜实践策略,避免影响阴道镜检查准确性的不利因素,定期行阴道镜检查质量的评价指标考核。阴道镜医师的专业培训、阴道镜检查指征的严格把握、病史采集的完善、阴道镜检查流程的规范性、活检及子宫颈管搔刮术的合理性等是提高阴道镜检查准确性的必要因素。The purpose of standardized colposcopy is to improve the detection rate of HSIL+in the lower genital tract and perianal region,to guide the management of colposcopy biopsy,treatment and follow-up,and to minimize the damage.In clinical work,we should implement the colposcopy practical strategy based on the quantitative risk management,avoid the adverse factors for the colposcopy accuracy,and regularly evaluate and assess the colposcopy quality.It is essential to improve the colposcopy accuracy by the professional training of colposcopy doctors,the strict grasp of the indications of colposcopy,the improvement of medical history collection,the standardization of colposcopy procedure,the rationality of biopsy and ECC,et al.

关 键 词：规范化 阴道镜检查 上皮内瘤变 风险 质量控制 

分 类 号：R711[医药卫生—妇产科学]