摘要
目的探析阴道镜检查在宫颈癌前病变中的筛查价值。方法选择两癌筛查中宫颈液基细胞检查(TCT)筛查异常,经阴道镜检查考虑宫颈疑似病变并行宫颈活检的218例患者为研究对象。以病理检测结果为金标准,记录阴道镜检查的宫颈癌前病变情况及诊断符合率。结果218例患者的活检病理检测结果显示,炎症29例、宫颈上皮内瘤变(CIN)Ⅰ级67例、CINⅡ级56例、CINⅢ级61例、宫颈癌5例;阴道镜检查结果显示,低级别鳞状上皮内病变(LSIL)86例、高级别鳞状上皮内病变(HSIL)127例、宫颈癌5例。阴道镜检查对宫颈癌前病变的诊断符合率为92.13%。结论阴道镜检查在宫颈癌前病变筛查中具有较高的实用性,对CINⅡ级、CINⅢ级癌前病变的检出率较高,有利于该病的早期诊断和治疗,应用价值理想。
Objective To explore the screening value of colposcopy in cervical precancerous lesions.Methods 218 patients with abnormal cervical thinprep cytologic test(TCT),suspected cervical lesions underwent colposcopy and underwent cervical biopsy were selected as the study objects.The pathological results were used as the gold standard,the cervical precancerous lesions tested by colposcopy and the diagnostic coincidence rate were recorded.Results The biopsy results of 218 patients showed that there were 29 cases of inflammation,67 cases of cervical intraepithelial neoplasia(CIN)Ⅰ,56 cases of CIN Ⅱ,61 cases of CIN Ⅲ,and 5 cases of cervical cancer.The colposcopy showed 86 cases of low-grade squamous intraepithelial lesions(LSIL),127 cases of high-grade squamous intraepithelial lesions(HSIL)and 5 cases of cervical cancer.The coincidence rate of colposcopy for cervical precancerous lesions was 92.13%.Conclusion Colposcopy has high practicability in the screening of cervical precancerous lesions,and the detection rate of CIN Ⅱ and CINⅢ precancerous lesions is high,which is conducive to the early diagnosis and treatment of the disease,and the application value is ideal.
作者
吴书洋
Wu Shuyang(Department of Gynecology,Jianhu County Jianyang Town Health Center,Jianhu 224700,China)
出处
《实用妇科内分泌电子杂志》
2023年第32期122-124,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
宫颈癌前病变
筛查
阴道镜检查
诊断符合率
Cervical precancerous lesions
Screening
Colposcopy
Diagnostic coincidence rate
