阴道镜对宫颈上皮内瘤样病变的诊断价值

Value of Colposcopy on Cervical Intraepithelial Lesions

目的探讨阴道镜在宫颈上皮瘤样变的诊断价值。方法选择2008年元月至2008年12月156例宫颈疾病患者进行阴道镜检查并行宫颈活组织检查病理结果进行分析。结果①阴道镜在诊断宫颈上皮瘤样中正确率97.6%,假阴性率(漏诊率)2.4%,敏感度为100%。②阴道镜醋白上皮图像与组织学结果相比:CINI88.3%、CINⅡ93.3%、CINⅢ100%。③宫颈疾病以35～45岁之间占的比例最大(48%)。结论阴道镜检查技术诊断宫颈上皮瘤样变结果准确可靠,特别对CIN早期诊断,早期治疗,减少宫颈癌发生有重要诊断价值。

Objective To investigate the colposcopy in cervical intraepithelial neoplasia CIN diagnosis.Methods In January 2008 to Dec.2008,156 cases of cervical disease patients with concurrent cervical biopsy pathology were analyzed.Results ① colposcopy in the diagnosis of cervical intraepithelial neoplasia the correct rate 97.6%,false-negative rate（missed diagnosis rate） 2.4%,the sensitivity was 100%.② white vinegar,colposcopy and histology of epithelial images compared with the results： CINI 88.3%,CIN Ⅱ 93.3%,CIN Ⅲ 100%.③ of cervical diseases 35～45 years old constitute the largest proportion（48%）.Conclusion Colposcopy diagnosis of cervical intraepithelial neoplasia accurate and reliable,especially for CIN early diagnosis,early treatment to reduce the occurrence of cervical cancer has important diagnostic value.