阴道镜检查265例临床分析

Clinical analysis of vaginascope examination (265 cases)

目的评价阴道镜检查对宫颈疾病诊断的价值。方法对265例阴道镜检查的患者在镜下取活检。结果经病理证实,慢性宫颈炎187例,宫颈息肉46例,宫颈湿疣17例,宫颈上皮内瘤样病变(CIN)13例,宫颈癌2例。临床诊断宫颈湿疣14例,阴道镜下诊断宫颈湿疣17例(已经病理证实),漏诊3例占17.6%,阴道镜下诊断CIN33例(病理诊断有慢性宫颈炎的有20例),诊断符合率为39.69%。结论阴道镜对宫颈尖锐湿疣、CIN的早期诊断有重要意义,可作为早期诊断宫颈尖锐湿疣、CIN的一项可行、有价值的检查方法。

Objective] The value of vaginascope examination for the unerine neck disease. [Method] 265 patients were biopsied by vaginascope examination. [Result] By pathology confirmation, there were chronicity cervicitis 187 cases, cervical polyp 46 cases, cervical condyloma acuminatum 17 cases, CIN (cervical intraepithelial neoplasia)13 cases, cervical carcinoma 2 cases. There were 14 cases cervical condyloma acuminatum diagnosed by clinical analysis, and 17 cases by vaginascope examination (pathology confirmed). There were 3 missed diagnosis cases,which took 17.6%. And there were 33 cases CIN diagnosed by vaginascope examination (there were 20 cases chronicity cervicetis diagnosed by biopsy), the diagnostic accordancerate was 39.69%. [Conclusion] The vaginascope examination is important for the early diagnosis of cervical condyloma acuminatum and the CIN, and it is also a doable and valuable method for them.