摘要
目的:探讨电子阴道镜在诊断宫颈上皮内瘤变(CIN)中的临床价值。方法:对545例患者行电子阴道镜检查子宫颈病变,将阴道镜检查结果与组织病理学检查结果进行对比分析。结果:545例阴道镜下活检诊断宫颈癌10例、CIN77例,共87例占16.0%;CIN和宫颈癌的患者异常阴道镜图像醋酸白色上皮占84.8%,其次是镶嵌占44.2%,异常血管占33.8%,猪油状改变占10.4%,同时出现三种及以上异常阴道镜图像的达43.5%。结论:对生育年龄妇女定期行电子阴道镜检查,并对可疑病变部位进行活检能够早期发现宫颈癌及癌前病变。
Obejective：To explore the clinical value of electronic colposcope in the diagnosis of cervical intraepithelial neoplasia （CIN）.Methods：The cervical lesion in 545 patients was inspected with electronic colposcope,the results of colposcopy and pathologic examination were analyzed.Results：In 545 cases of biopsy under colposcopy,there were 10 cases diagnosed as cervical carcinom and 77 cases diaqnosed as CIN,both came to 87 accouting for 16.0%;the patients with CIN or cervical cancer showed abnormal colposcopic image with acetowhite epithelium accouting for 84.8%,followed by the abnormal colposcopic image with mosaic accouting for 44.2%,vascalar ab- normalities aceouting for 33.8% and the change like lard accouting for lO.4%,and the abnormal colposcopic image of three kinds or more appearred at the same time accouting for 43.5%.Conclusion：the woment with childbearing age should receive the electronic colpeseopic examination regularly,it can find the early cervical cancer and CIN with cervical biopsy at doubtful lesion region.
出处
《现代医药卫生》
2007年第3期332-333,共2页
Journal of Modern Medicine & Health
关键词
电子阴道镜
病理学诊断
宫颈上皮内瘤变
Electronic colposcope
Pathologic diagnosis
Cervical intraepithelial neoplasia
