阴道镜筛查宫颈上皮内瘤样病变的临床观察

Clinical observation of cervix intraepithelial neoplasia by examination under colposcopy.

目的:通过阴道检查并在异常阴道镜图像区取活检,探讨宫颈上皮内瘤样病变(C IN)的检出率,阴道镜图像特征及诊断价值。方法:回顾分析2年来阴道镜检查1 812例中378例C IN的阴道镜检结果;结果:1 812例中宫颈活检1 455例,占80.3%;C IN 378例,占20.9%。C IN的异常阴道镜图像主要为血管异常、白色上皮和白斑及腺口白环、白腺。结论:阴道镜是辅助诊断C IN的重要方法。

Objective： To investigate the incidence of cervix intraepithelial neoplasia （CIN）, picture stigma and diagnostic value by colposcopy findings. Methods： Colposcopy findings of 378 CIN were, analyzed retrospectively. Results： The incidence of biopsy under colposcopy was 80. 3 % （ 1 455/1 812）. The incidence of CIN diagnosed by biopsy was 20. 9% （378/1 812）. The major colposcopy findings were vascular abnormalities and white cuffed gland openings. Conclusion： Colposcopy is an important assistant method for diagnosing CIN.