阴道镜评估宫颈HPV/LSIL转归的价值研究  

Thevalue of colposcopy in evaluating cervical HPV/LSILoutcomes

作　　者：黄宁[1] 林晓琰[1] 黄丽英[1] 徐英军 白华[1] Huang Ning;Lin Xiaoyan;Huang Liying;Xu Yingjun;Bai Hua(Department of Gynecology,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530003,China)

机构地区：[1]广西壮族自治区妇幼保健院妇科,广西南宁530003

出　　处：《实用妇科内分泌电子杂志》2023年第21期16-19,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨阴道镜在评估宫颈人乳头瘤病毒(HPV)/低级别鳞状上皮内瘤变(LSIL)患者转归的价值。方法选取行宫颈病变筛查,高危型HPV(HR-HPV)阳性,经阴道镜检查无异常或阴道镜检查异常,经病理检查确诊的HPV/LSIL患者137例,1年后复查细胞学及高危型HPV,记录相关检查结果,根据HPV复查结果分为转归组和持续组。结果137例患者中,HPV转阴89例,HPV持续48例,整体转归率为64.96%(89/137)。转归组与持续组的HPV类型、细胞学结果比较,差异无统计学意义(P>0.05),阴道镜评估结果显示,阴道镜下转化区类型、阴道镜印象与阴道镜下是否行宫颈活检术比较,差异有统计学意义(P<0.05),而是否行颈管搔刮术比较差异无统计学意义(P>0.05)。结论阴道镜下评估的转化区类型、阴道镜下印象、是否行宫颈活检术可能是影响HPV转归的重要因素。Objective To explore the value of colposcopy in evaluating the outcome of cervical human papillomavirus(HPV)/loW-grade squamous intraepithelial neoplasia(LSIL).Methods A total of 137 HPV/LSIL patients with positive HR-HPV,no abnormality or abnormal colposcopy and confirmed by pathologic examination were selected for cervical screening.Cytology and high-risk HPV were re-examined 1 year later,and relevant examination results were recorded.The patients were divided into outcome group and continuous group according to HPV re-examination results.Results Among the 137 patients,HPV turned negative in 89 cases and HPV persisted in 48 cases,and the overall outcome rate was 64.96%(89/137).There were no statistically significant differences in HPV types and cytological results between the outcome group and the continuous group(P>0.05).Colposcopic evaluation results showed that there were statistically significant differences in the types of transformation area under colposcopy,colposcopic impression,and whether cervical biopsy was performed under colposcopy(P<o.05),There was no significant difference in whether cervical tube scratching was performed(P>0.05).Conclusion The type of transformation area evaluated under colposcopy,colposcopic impression,and whether cervical biopsy was performed may be important factors affecting the outcome of HPV.

关 键 词：阴道镜 人乳头瘤病毒转归 宫颈病变 

分 类 号：R711[医药卫生—妇产科学]