妇科门诊阴道镜检查268例临床分析

A clinical analysis of 268 gynecologic outpatients with colposcopic examination

目的探讨能够提高妇科门诊外阴、阴道及宫颈病变检出率的方法。方法对2006年6月至2008年6月间268例患者行阴道镜结合病理检查，阴道镜检查按说明操作诊断。结果早期宫颈癌阴道镜图像表现为局部表面结构不清，呈云雾状、脑回状或猪油状，醋酸试验时病变组织呈白色煮熟状，涂碘不着色，血管异常增生，失去正常分支，走向紊乱，从多点取材送病检46例的诊断是：宫颈腺囊肿26例，占56％：宫颈鳞状上皮非典型增生12例，占26％；宫颈浸润癌2例，占4．3％；宫颈原位腺癌5例，占10．8％；阴道癌1例，占2．3％。结论临床应用阴道镜检查宫颈病变比较可靠，可使外阴、阴道及宫颈病变检出率明显提高，并能提高早期cIN及宫颈癌的诊断率。

Objective To investigate the Value of colposcopic examination for gynecologic outpatients. Methods 268 cases gynecologic outpatients with colposcopic examination from 2006 to 2008 was retrospective studied. In most nof the cases, cytobgical studies and pathological biopsies were done. Results In thes group, the Cervical cyst was 56%, dysplasia epithelium was 26%,Cervical carcinoma was 4.3%,Cervical Precancerous Lesions was 10.8% and other malignant tumours was 2.3%.Colusions Colposcopic examination is very helpful in Screening Cervical Precancerous Lesions