阴道镜筛查860名妇女宫颈病变的临床研究

Clinical research on screening cervix lesion with colposcope among 860 women

目的探讨阴道镜检查对宫颈病变的诊断价值。方法2004年1月至2006年2月，先后对860名妇女进行阴道镜检查，并在阴道镜下进行多点活检，以宫颈组织学诊断为金标准，对结果进行分析。结果病理检查证实：诊断宫颈上皮内瘤变88例，其中C1NⅠ51例（5．93％），C1NⅡ26例（3．02％），CINⅢ11例（1．28％）；诊断子宫颈鳞癌10例（1．16％），腺癌2例（0．23％），宫颈炎症760例（88．4％）；阴道镜下定点活检CIN检出率10．23％，发病年龄在45岁者所占比例最大（81．81％）；合并宫颈糜烂占36．36％（32／88），宫颈光滑者占7．95％（7／88）。结论阴道镜检查能及早发现宫颈癌前病变，是筛查宫颈病变的一项很有价值的方法。

Objective To explore the diagnostic value of screening cervix lesion with colposcope. Methods From Jan 2004 to Feb 2006, 860 women were received cervix lesion screening with colposcope, and multiple biopsy and pathologic examinations were done and analysed. Results Among 860 women, 88 were cervical epithelial tumor-like lesions, and among which 51 were CIN Ⅰ （5.93%）, 26 were CIN Ⅱ（3.02%）, and 11 were CINⅢ （1.28%）. 10 were cervical squamous carcinoma （1.16%）, 2 cervical adenocarcinoma （0.23%）, and 760 cervical inflammation （88.4%）. 36.36% （32188） was combined with cervical erosion, 7.95% （7/88） was with smooth cervix. Conclusions Colposcope could detect early stage of pre-cancerous lesions, and is an effective assay in cervical lesion screening.