阴道镜下宫颈活检209例临床分析

Clinical analysis of 209 cases of cervical biopsy punched under the instruction of colposcopy

目的评价阴道镜诊断的准确性。方法回顾分析浙江省富阳市妇幼保健院209例阴道镜下宫颈活检的病理诊断结果。结果阴道镜下宫颈活检的宫颈上皮内瘤变(CIN)和HPV亚临床感染(SPI)率明显高于直视下宫颈活检。结论阴道镜下宫颈活检可提高CIN和SPI的诊断率,配合液基薄层细胞检测(TCT)筛查,诊断率更高;阴道镜对宫颈管内病变不易发现,需要进一步处理。

【Objective】To estimate the accuratissime of diagnosis under the instruction of colposcopy.【Methods】 Retrospective analyze the clinical information of 209 patients who received cervical punch biopsies under the instruction of colposcopy at Fuyang Maternal and Child Health Care Hospital of Zhejiang.【Result】The diagnosis rate of cervical intraepithelial neoplasia（CIN） and HPV infection by cerical biopy punched under instruction of colposcopy were evidently higher than by directed cervical biopy punched.【Conclusion】It can increase the diagnosis rate of CIN and HPV infection if cervical biopy punched under instruction of colposcopy and fluid based thin-layer cytological test system（TCT） is adopted;It＇s unattainable to find to cervical-trade lesion using the test of colposcopy.