摘要
[目的]探讨阴道镜检查在诊断宫颈癌前病变中的临床诊断价值。[方法]对2001年1月～2006年12月786例宫颈病变患者的阴道镜检查结果和同期直视下行宫颈活检的患者634例进行对比性研究。[结果]慢性宫颈炎、宫颈上皮内瘤样病变和癌在阴道镜下图像均呈多样性;阴道镜检查的宫颈病变行宫颈活检术者中宫颈上皮内瘤样病变和湿疣的检出率明显高于肉眼直视下行宫颈活检者,差异有统计学意义(P﹤0.005)。炎症和癌的检出率差异无统计学意义(P﹥0.25,P﹥0.75)。[结论]阴道镜检查在对宫颈病变的癌前病变的早期诊断中具有重要价值,阴道镜下定位活检可提高宫颈病变诊断的准确性和检出率。
[Objective]To explore the value of colposcopy in diagnosis of early cervical dysplasia.[Methods]The results of colposcopically biopsy of 786 patients with cervical biopsy were compared with that of directed vision biopsy of 634 patients from January 2001 to December 2006.[Results]Chronic cervicitis,cervical intraepithelial neoplasia and carcinoma were observed to be diversity by colposcope;Among these cervical lesion patients,detection rate of cervical intraepithelial neoplasia（CIN）and condyloma by colposcopically biopsy was significantly higher than that by directed vision biopsy（P﹤0.005）.There were no significant difference between detection rates of chronic cervicitis and cervical cancer（P﹥0.25,P﹥0.75）.[Conclusion]The colposcopy is of great significance in the early detection of lesion precancerous of cervical dysplasia.The colposcopically directed biopsy can improve the accuracy and detection rate for diagnosis of cervical lesion.
出处
《现代预防医学》
CAS
北大核心
2007年第24期4744-4745,4752,共3页
Modern Preventive Medicine
关键词
阴道镜
宫颈病变
癌前病变
Colposcope
Cervical lesion
Lesion precancerous
