阴道镜下定位活检在宫颈病变诊断中的价值

The value of localized biopsy with the colposcopy for the diagnosis of cervical lesions

目的探讨阴道镜下宫颈定位活检在宫颈病变诊断中的价值、临床意义。方法收集2008年5月至2009年6月在资阳市人民医院妇科门诊就诊的1500例宫颈疾病患者,根据阴道镜检查适应证选择出314例患者,进行阴道镜检查及阴道镜下定位活组织检查,并进行回顾性分析、比较、总结。结果共检查出宫颈癌患者14例,占4.46%,宫颈上皮内瘤变(cervical intra-epithelial neoplasia,CIN)70例,占22.3%,慢性宫颈炎168例,占53.5%,宫颈息肉62例,占19.7%。结论目前宫颈癌及癌前病变趋于年轻化,其早期病变肉眼无特征性,不易早期诊断。利用阴道镜检查及定位活检可做到早期诊断,明显提高宫颈病变的检出率,以利于早期诊断、早期治疗,明显降低晚期宫颈癌的发生率。

Objective To investigate the value and significance of the cervical biopsy with the colposcopy for the diagnosis of cervical lesions in clinical practice. Methods The data resulting from 314 outpatients with cervical lesions was analyzed retrospectively, compared and summarized in department of gynaecology and obstetrics, the people＇ s hospital of Ziyang city from May 2008 to June 2009. 314 cases were taken the examination by the eolposcopy and localized biopsy with the colposcopy. Results There was 14 - case with cervical cancer accounting for 4.46%, 70 -ease with cervical intraepithelial neoplasia （CIN） accounting for 22.3% , 168 -ease with chronic eervieitis accounting for 53.5% and 62 - case with cervical polyps accounting for 19.7%. Conclusion The cervical cancer and precancerous lesions patients were tending to be younger in recent years and the early lesions was no characteristics with visual observation and early diagnosed difficultly. The examination and localized biopsy by the eolposcopy could be used for early diagnosis and improve the detection rate of cervical lesions in order to early diagnose and treat for reducing the incidence of advanced cervical cancer significantly.