电子阴道镜下定位活检在宫颈病变诊断中的应用价值  

Application Value of Localization Biopsy Under Electronic Colposcopy in Diagnosis of Cervical Lesions

作　　者：穆红茹 MU Hong-ru(Department of Gynecology,Tianjin Jizhou District People's Hospital,Tianjin 301900,China)

机构地区：[1]天津市蓟州区人民医院妇科,天津301900

出　　处：《医学信息》2022年第1期178-180,共3页Journal of Medical Information

摘　　要：目的研究电子阴道镜下定位活检在宫颈病变诊断中的应用价值。方法选取2020年3月-2021年3月我院接诊的64例宫颈病变患者为研究对象,均进行电子阴道镜下定位活检及组织病理学检查,比较病理学诊断与电子阴道镜下定位活检诊断的准确率、不同病理类型阴道镜图像表现、宫颈上皮内瘤变(CIN)分级的检出率。结果阴道镜下定位活检对慢性宫颈炎、宫颈癌前病变、宫颈癌的检出率及诊断准确率与组织病理学诊断结果比较,差异无统计学意义(P>0.05);阴道镜下异常图像主要表现为发生不同程度的醋酸白色上皮,CIN主要表现为醋酸白上皮、镶嵌与点状血管,伴随宫颈病变程度的严重化,继而发生以白斑加镶嵌二联征、白色上皮加异型血管加镶嵌三联征,宫颈癌主要表现为四联征;阴道镜下定位活检CIN1、CIN2、CIN3检出率与病理学检出率比较,差异无统计学意义(P>0.05)。结论电子阴道镜下定位活检诊断宫颈病变准确率高,可明确CIN分级,提供异常图像特点,为临床定位活检提供可靠的依据,具有较高的应用价值。Objective To study the application value of localization biopsy under electronic colposcopy in the diagnosis of cervical lesions.Methods A total of 64 patients with cervical lesions admitted to our hospital from March 2020 to March 2021 were selected as the research objects.All patients underwent electronic colposcopy positioning biopsy and histopathological examination.The accuracy of pathological diagnosis and electronic colposcopy positioning biopsy diagnosis,colposcopy image performance of different pathological types,and the detection rate of cervical intraepithelial neoplasia(CIN)grade were compared.Results There was no significant difference in the detection rate and diagnostic accuracy of colposcopic biopsy for chronic cervicitis,cervical precancerous lesions and cervical cancer compared with histopathological diagnosis(P>0.05).The abnormal images under colposcopy were mainly manifested as different degrees of acetic acid white epithelium.CIN was mainly manifested as acetic acid white epithelium,mosaic and punctate blood vessels,accompanied by the severity of cervical lesions,followed by white spots and mosaic binary sign,white epithelium and atypical blood vessels and mosaic triple sign,and cervical cancer was mainly manifested as quadruple sign.There was no significant difference in the detection rates of CIN1,CIN2,and CIN3 between colposcopic biopsy and pathological biopsy(P>0.05).Conclusion The accuracy of localization biopsy under electronic colposcopy in the diagnosis of cervical lesions is high,which can clarify the CIN grade,provide abnormal image characteristics,provide reliable basis for clinical localization biopsy,and has high clinical application value.

关 键 词：电子阴道镜 定位活检 宫颈病变 慢性宫颈炎 宫颈癌前病变 宫颈癌 

分 类 号：R446[医药卫生—诊断学]