阴道镜下活检诊断宫颈鳞状上皮内病变的临床应用  

Clinical application of biopsy under colposcopy in the diagnosis of cervical squamous intraepithelial lesions

作　　者：谢秋兰 何红霞[1] 孙成玲 张薇[1] Xie Qiulan;He Hongxia;Sun Chengling;Zhang Wei(PLA 74 Army Group Military Hospital,Guangzhou 510280,China)

机构地区：[1]中国人民解放军陆军74集团军医院,广州510280

出　　处：《国际医药卫生导报》2020年第13期1946-1949,共4页International Medicine and Health Guidance News

摘　　要：目的通过分析宫颈鳞状上皮内病变在阴道镜下的异常图像表现,并通过活检后病理诊断结果证实进行分析。方法选择36例阴道镜下醋酸反应异常和碘试验阴性的病例有针对性进行活检。结果检出宫颈疾病32例,包括低级别病变6例,高级别病变26例,宫颈原位癌1例。结论阴道镜指导下进行活检,可明显提高诊断的阳性率,减少临床上误诊和漏诊的发生,为宫颈疾病的早期干预提供了可靠、方便的诊断依据,同时也减少患者不必要的活检。Objective To analyze abnormal images of cervical squamous intraepithelial lesions under electron colposcopy and adopt post-biopsy pathological diagnosis.Method Thirty-six cases with abnormal acetic acid reaction under colposcopy and negative iodine test were selected for targeted biopsy.Results 32 cases of cervical diseases were detected,including 6 cases of low grade lesions,26 cases of high grade lesions,and 1 case of cervical carcinoma in situ.Conclusions Biopsy under colposcopy can significantly improve the positive diagnosis rate,reduce the occurrence of clinical misdiagnosis and missed diagnosis,and provide a reliable and convenient diagnostic basis for early intervention of cervical diseases.What's more,it also reduces unnecessary biopsy of patients.

关 键 词：子宫颈鳞状上皮内病变 阴道镜检查 活体组织病理检查 

分 类 号：R737.33[医药卫生—肿瘤]