摘要
目的明确阴道镜下宫颈定位电切活检是否比宫颈常规四点(30,60,90,120)活组织检查更有应用价值,探讨阴道镜下宫颈定位电切活检在宫颈上皮内瘤变(C IN)诊断中的价值。方法回顾性分析近2年来,因宫颈病变行宫颈细胞学及阴道镜检查均异常者88例。需行宫颈活检者,其中宫颈常规活检44例,阴道镜定位活检44例。采用对照法,对比分析宫颈常规四点活检及阴道镜下定位电切活检的病理检查结果。结果宫颈常规四点活检与阴道镜下定位电切活检的病理结果完全符合者31例(35.2%),不符合者57例(64.8%)。其中病理级别阴道镜下定位电切活检较宫颈常规四点活检升高16例(18.2%),宫颈阴道镜下定位电切活检发现C IN3及宫颈原位癌共8例,早期浸润癌2例,均予子宫切除术及广泛子宫切除术。病理报告为C IN2者32例,行宫颈锥切术,术后并重新病检,切缘干净。C IN118例,行宫颈电熨术。在平均18个月的随诊期间,无1例出现宫颈细胞学检查异常,宫颈电切取活检及常规四点取活检的主要并发症为术后出血。结论阴道镜下定位电切活检较宫颈常规四点活检更有应用价值,同时也可作为治疗的一种方法。因病变组织在取活检时已被整块切除,而宫颈常规四点活检无法做到这一点。
Objective To clarify whether it has more application value between bospy by routine and electric excision under coloscopoy, To investigate the diagnostic value by routine biopsy under coloscopy in cevical intraepithetial neoplasia.（CIN） . Methods 88 cases were conducted biopsy, which were diagnosed. Cervical abnormal, and each is 44 cases. Converstly investigate the biopsy result of routine and electric excision under coloscopy. Results The two methods combines 57 cases, and 16 cases are more serious than routine; 8 eases were diagnosed CIN3,2 cases were infilinating cancers by using electric excision, 32 cases were CIN2, and 18 cases were CIN1. The main complication of biopsy is heeding. Conclusion It is more valuable of electric exeision under coloscopy, as a treatment the same time. And the lesion were wholly excision, while the routine can＇ t achieve it.
出处
《广州医药》
2006年第1期52-54,共3页
Guangzhou Medical Journal
关键词
宫颈
四点活检
阴道镜
定位电切活检
Biopsy by routine
Coloscopy
Biopsy by electric excision
