阴道镜对宫颈上皮内瘤样病变的临床价值

Clinical Evaluation of Colposcopy in the Diagnosis of Cervical Intraepithelial Neoplasia

目的:评价阴道镜图像对宫颈疾病尤其对宫颈上皮内瘤样病变(CIN)的诊断价值。方法:回顾分析1512例中277例CIN的阴道镜检结果。结果:CIN的发病例数呈上升趋势,发病年龄也日趋年轻化,1512例中宫颈活检1206例,CIN 277例。CIN的异常阴道镜图像主要为醋酸白色上皮,对CIN诊断的敏感性和阳性预测值高,其与点状区和或镶嵌同时存在时,对CIN诊断的敏感性下降,特异性升高。结论:阴道镜是辅助诊断CIN的重要方法,发现阴道镜可疑时应进行常规活检。

Objective：To evaluation the value of colposcopy in the diagnosis of cervical intraepithelial neoplasia（CIN）. Methods：Colposcopic inspections and biopsies were performed on 1512 between January 2003 and March 2006. Results： The incidence of CIN increased significantly this years. The incidence of CIN diagnosed by routine biopsy was 18.3 %（277 / 1512）. The major colposcopy finds were acetowhite epithelium and vascular abnormalities and punctuation and/or mosaic. Conclusion：Colposcopy is an important assistant method for diagnosing CIN. The initial colposcopy should include roution cervical bispsies.