摘要
目的探讨阴道镜应用于宫颈上皮内瘤病变(CIN)中的临床诊断价值。方法入选2010年1月至2013年1月在我院就诊的500例CIN患者,对500例CIN患者行阴道镜下宫颈活检,了解病变情况,并和手术病理活检结果对比,观察阴道镜下宫颈活检的诊断符合率。结果阴道镜下活检结果显示,CINⅠ为108例,CINⅡ为177例,CINⅢ为215例,而手术病理活检结果显示,CINⅠ为93例,CINⅡ为167例,CINⅢ为206例,其余34例则为慢性宫颈炎患者23例,浸润性癌11例。阴道镜CINⅠ诊断符合率为83.33%(90/108),CINⅡ诊断符合率为89.26%(158/177),CINⅢ诊断符合率为90.23%(194/215),可见阴道镜对于轻中重度上皮肉瘤样病变诊断符合率无显著差异(P>0.05)。结论阴道镜技术对CIN诊断结果和病理结果较为接近,且各分期的诊断符合率均较高,值得临床推广。
Objective To investigate the clinical value of the colposcopy in diagnosing cervical intraepithelial neoplasia （CIN）. Methods 500 CIN patients in our hospital from January 2010 to January 2013 were selected and performed colposcopic cervical biopsy, to observe the pathological changes, make a contrast with the surgical pathological biopsy results, and observe the diagnostic accordance rate of colposcopic cervical biopsy. Results The colposcopic biopsy results showed 108 cases with CINⅠ, 177 cases with CINII, 215 cases with CINⅢ;while surgical pathological biopsy results showed 93 cases with CINⅠ, 167 cases with CINII, 206 cases with CINⅢ, and 23 cases with chronic cervicitis, 11 cases with invasive carcinoma. The colposcopic diagnostic accordance rate of CINⅠwas 83.33%（90/108）, that of CINIIwas 89.26%（158/177）, and that of CINⅢwas 90.23%（194/215）, without significant difference in diagnosing CINⅠ~ Ⅲ by colposcopy （P〉0.05）. Conclusions Colposcopy has similar diagnostic results of CIN in contrast to the pathological results, with high diagnostic accordance rate of each stage, which is worthy of promoting in clinic.
出处
《临床医学工程》
2014年第6期677-678,共2页
Clinical Medicine & Engineering
关键词
阴道镜
宫颈上皮内瘤病变
诊断价值
Colposcopy
Cervical intraepithelial neoplasia
Diagnostic value
