摘要
目的探讨阴道镜对宫颈上皮内瘤变(CIN)的诊断价值。方法对792例患者行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792例阴道镜下活检诊断宫颈癌15例,CIN 121例,共136例占17.2%;CIN和宫颈癌的患者异常阴道镜图像醋酸白色上皮占86.2%,其次是镶嵌占44.7%、异常血管占34.1%、猪油状改变占9.8%,同时出现3种及以上异常阴道镜图像的达41.2%。结论对生育年龄妇女定期行阴道镜检查,并对可疑病变部位进行活检,对宫颈癌及癌前病变的早期发现具有一定的诊断价值。
Objective To investigate the clinical value of colpaseopy in diagnosis of cervical intraepithelial neoplasia. Methods The cervical lesion in 792 patients was inspected with colposcopy, and the results of colpascopy and pathologic examination were analyzed. Results In 792 cases of biopsy under colposcopy, there were 136 cases （17.2%） with pathological changes in cervix,included 15 cases diagnosed as cervivalcarcinoma and 121cases as CIN. The patients with CIN or cervical career showed abnormal colposcopic image of three kinds or more accounting for 41.2% at the same time. Conclusion Women at reproductive age should receive the electronic colposcopic examination regularly, which can find the early cervical cancer and CIN at doubtful lesion region.
出处
《医学综述》
2008年第12期1917-1918,共2页
Medical Recapitulate
关键词
阴道镜检查
宫颈上皮内瘤变
诊断
Colposcopy
Cervical intraepithelial neoplasia
Diagnosis
