阴道镜下多点活检联合宫颈管搔刮术在绝经后宫颈病变诊断中的应用价值  

Clinical value of colposcope multi-point biopsy combined with cervical ca nal scratching and curettage in the diagnosis of postmenopausal cervical lesions

作　　者：丁雷 DING Lei(Department of Obstetrics and Gynecology,Northern Kuanren Hospital,Yube i District,Chongqing 400000,China)

机构地区：[1]重庆渝北区北部宽仁医院妇产科,重庆400000

出　　处：《当代医药论丛》2022年第2期152-154,共3页

摘　　要：目的:探究阴道镜下多点活检联合宫颈管搔刮术在绝经后宫颈病变诊断中的应用价值。方法:选择近年来因接受宫颈细胞学检查和人乳头瘤病毒(HPV)检测的结果异常而在重庆渝北区北部宽仁医院进行阴道镜检查及手术治疗的15例绝经后宫颈病变患者作为研究对象。对这些患者均进行宫颈锥切术及术后病理学检查,术前对其均实施阴道镜下多点活检联合宫颈管搔刮术,比较单用阴道镜下多点活检及用阴道镜下多点活检联合宫颈管搔刮术与术后病理学检查诊断患者宫颈病变的一致率。结果:用阴道镜下多点活检与术后病理学检查诊断15例患者宫颈病变(包括宫颈上皮内瘤变和宫颈癌)的一致率为60%,用阴道镜下多点活检联合宫颈管搔刮术与术后病理学检查诊断其宫颈病变的一致率为80%,二者相比差异有统计学意义(P<0.05)。结论:用阴道镜下多点活检联合宫颈管搔刮术诊断绝经后宫颈上皮内瘤变、宫颈癌等宫颈病变的准确性较高。Objective:To explore the application value of colposcopic multi-point biopsy combined with cervical canal scratching and curettage in the diagnosis of postmenopausal cervical lesions.Methods:A total of 15 postmenopausal patients with cervical diseases who received cervical cytology and hum an papillomavirus(HPV)abnormal results in recent years and underwent colposcopy and surgical treatment in Kuanren Hospital,Yubei District,Chongqing were selected as the research subjects.All of these patients underwent cervical conectomy and postoperative pathological examination,and all of them underwent colposcopic multi-point biopsy combined with cervical canal scratching before surgery.The consistency rate of cervical lesions diagnosed by colposcopic multi-point biopsy alone and colposcopic multi-point biopsy combined with cervical canal scratching was compared with that diagnosed by postoperative pathological examination.Results:with the multi-point biopsy under colposcope and postoperative pathology examination in the diagnosis of 15 cases of patients with cervical lesions(including cervical intraepithelial neoplasia and cervical cancer)the consistent rate was 60%,with a combined multi-point biopsy under colposcope cervical tube scratch scratch surgery and postoperative pathology examination in the diagnosis of cervical lesion consistent rate was 80%,compared the difference was statistically significant(P<0.05).Conclusion:The diagnosis of postmenopausal cervical intraepithelial neoplasia and cervical cancer by colposcopic multi-point biopsy combined with cervical tube scratching and curettage is more accurate.

关 键 词：阴道镜下多点活检 宫颈管搔刮术 绝经 宫颈病变 宫颈癌 宫颈上皮内瘤变 

分 类 号：R711.74[医药卫生—妇产科学]