阴道镜检查在女阴尖锐湿疣早期诊断中的应用

COLPOSCOPY FOR THE EARLY DIAGNOSIS OF CONDYLOMA ACCUMINATUM

3年来本院门诊疑诊外阴尖锐湿疣患者200例,行阴道镜检查,镜下取活检,并对尖锐湿疣作出早期诊断情况。阴道镜诊断的准确率为82.7%(138/167)。发病部位以小阴唇内侧皮肤粘膜交界区最多见(84.1%)。阴道镜下所见大致有滤泡状(丘疹型)、指突状(葡萄型)、尖峰状(刺状)、菜花状(树状)几种类型。提出阴道镜检查对于外阴尖锐湿疣的早期诊断,尤其对于微小病变的鉴别诊断颇有裨益,且镜下取活检可提高诊断的准确性。

It is analysis that 200 patients who were suspected as condyloma accuminatum were examined with colposcope in three years,biopsy of suspicious lesions under colposcopy was made.The diagnosis was correct in 82.7% of the cases.The most common lesion spot was located in the mucocu- tarteous junction of the labium minus in our group.Colposcopical images were classified into four types,they were mastoidal follicular,fingered,sharp peaky,and cauliflowery.It was discussed what is the reasons of the differents in colposcopy and pathologic diagnosis.The authors suggest that colpos- copy is very helpful in examining minus lesions,especially in distinguished diagnosis.Biopsy of the le- sions under colposcopy has improved the diagnostic accuracy.