摘要
目的评价阴道镜对宫颈病变尤其宫颈上皮内瘤样病变(CIN)的诊断价值。方法对2002年7月～2005年7月进行阴道镜检查的患者838例,行镜下定位取活组织病理检查。结果发现病变335例,经病理确诊宫颈原位癌3例(0.90%);CIN84例(25.07%),包括CINⅠ64例(19.10%)CINⅡ16例(4.78%),CINⅢ4例(1.19%);慢性宫颈炎症208例(62.09%),息肉40例(11.94%)。阴道镜诊断宫颈病变的总符合率为91.04%(305/335),诊断慢性宫颈炎的符合率为97.84%,诊断早期宫颈癌的符合率为75%。结论阴道镜检查对诊断宫颈病变结果准确、可靠,有重要价值。
Objective To evaluate the value of vaginal speculum in the diagnosis of cervical pathological changes especially the cervical intraepithelial neoplasia （GIN）. Methods Colposcopic inspections and biopsies were performed on 838 women between July 2002 and July 2005 in our hospital. Results 335 women were detected pathological changes. After pathology diagnosis, there were 3 ones with carcinoma in situ（0.90%）, 84 ones with GIN, included 64 ones with GIN Ⅰ （19.10%）,16 ones with CIN Ⅱ（4.78%）, 4 ones with CINm（1.19%）; 208 ones with chronic inflammation（62.09%） and 40 ones with polyps（11.94%）. The total coincidence rate of cervical pathological changes and chwnic inflammation and early cervical carcinoma was 91.04%（305/335）, 97.84% and 75%, respectively. Conclusions Vaginal speculum examination should be an accurate and reliable method for cervical Pathological changes diagnosis.
出处
《海南医学》
CAS
2006年第2期47-48,共2页
Hainan Medical Journal
关键词
阴道镜检查
宫颈病变
诊断价值
Vaginal speculum examination
Cervical pathological changes
Diagnostic value
