阴道镜下病理学检查在子宫颈上皮内瘤变诊断中的应用评价

The application evaluation of colposcope pathology diagnosis in cervical intraepithelial pathological changes

目的:评价阴道镜下病理学检查在子宫颈上皮内瘤变诊断中的应用。方法:135例宫颈病变患者随机分为两组,观察组92例采用阴道镜下病理学检查,研究阴道镜检查与病理学检查诊断结果间的符合率,并与对照组43例肉眼活检病理检查比较。结果:与病理诊断结果比较,阴道镜诊断为炎症、CINⅠ、CINⅡ、CINⅢ和SCC的诊断符合率为59.1%、61.3%、71.4%、64.3%和66.7%。观察组诊断符合率62.4%明显高于对照组的30.2%,两组比较差异有统计学意义(P<0.05)。结论:阴道镜镜下定位活检可以提高病理学诊断的阳性率和准确性。

Objective： To evaluate colposcope pathology diagnosis in cervical intraepithelial pathological changes. Methods： From June 2008 to June 2009, 135 cases of cervical intraepithelial pathological changes patients were randomly classified into two groups. Observation group with 92 cases were detected by colposcope pathology diagnosis and control group with 43 cases were detected by naked eye biopsy pathology. Results： Compared with pathology diagnosis, the diagnose accordance rate of colposcope pathology diagnosis were 59. 1% , 61.3% , 71.4% , 64. 3% and 66. 7%. The diagnose accordance rate （62. 4% ） in observation group was significantly higher than that in control group （ 30. 2% ） （ P 〈 0. 05 ） . Conclusion ： Colposcope pathology diagnosis can improve the positive rate and accurate rate.