摘要
目的评价阴道镜在小于30岁的年轻妇女宫颈病变诊断中的价值及其临床意义。方法研究对象是2007年9月至2008年9月我院阴道镜门诊中小于30岁的年轻妇女265例,其中95例行活组织检查,对阴道镜检查结果和病理结果进行分析总结。结果95例活检病理报告为:炎症57例(60.00%),CINⅠ19例(20.00%),CINⅡ8例(8.42%),CINⅢ4例(4.21%),原位、早浸癌1例(1.05%),宫颈乳头状瘤6例(6.32%)。阴道镜诊断的阴性准确率是92.06%(58/63),阳性准确率是84.37%(27/32),假阴性率是7.94%(5/63),假阳性率是15.63%(5/32)。结论小于30岁的有性生活年轻妇女应纳入宫颈癌筛查范围,阴道镜检查可作为这个群体宫颈病变的普查手段之一。
Objective To evaluate the clinical value of the video colposcopy in aged under thirty women with cervical disease. Methods 265 young women under thirty were examinated by video colposcopy and 95 cases of them were biopsies. A retrospective analysis of these cases with cervical lesions diagnosed by colposcopy was performed, and compared with diagnosed by pathology. Results Among the 95 cases by histopathologic diagnosis, there were 57 cases （60.00%） with chronic cervicitis, 19 cases （20.00%） with cervical intraepithelial neoplasia I （CIN I ）, 8 cases （8.42%） with CINII , 4 cases with （4.21%） CIN III, 1 cases （1.05%） with cervical cancer, and 6 eases（ 6.32% ） with cervical papilloma. The negative rate of eolposcopy was 92.06% （58/63） and the positive rate was 84.37 （27/32）, the peuso -negative rate was 7.94% （5/63）, the peuso -positive rate was 15.63% （5/32）. Conclusion The routine cervical cancer screening should be performed in young women under thirty, and eolposcopy is a reliable method for cervical cancer screening.
出处
《海南医学》
CAS
2009年第12期50-52,共3页
Hainan Medical Journal
关键词
阴道镜
宫颈病变(CIN)
年轻妇女
Colposcopy
Cervical intraepithelial neoplasia（CIN）
Young women
