阴道镜检查在宫颈上皮内瘤变中的诊断价值分析

The analysis of diagnostic value of colposcopy in cervical intraepithelial neoplasia

目的:探讨阴道镜检查对宫颈上皮内瘤变(CIN)的诊断价值。方法:选择2008年1月～2009年12月在本院妇科门诊经阴道镜检查并取活检诊断为CIN,继之行宫颈LEEP环切术或宫颈锥切术治疗的124例患者,对其临床资料进行回顾性分析。结果:阴道镜下组织学诊断与宫颈LEEP环切术或宫颈锥切术最后诊断符合率为69.35%(86/124),不符合率为30.65%(38/124),其中级别升高者占7.26%,其中有4例最终诊断为宫颈浸润癌,漏诊率为3.23%(4/124);级别降低者占23.39%(29/124)。结论:阴道镜检查在诊断CIN和宫颈早期浸润癌方面,具有一定的临床价值,但对高级别的CIN应结合宫颈LEEP术或电刀锥切术作为进一步的诊断依据。

Objective：Colposcopy of cervical intraepithelial neoplasia （CIN） diagnosis.Methods：From January 2008 to December 2009 in our hospital gynecology clinic by colposcopy and biopsy diagnosis of CIN,followed by cervical loop ex cision procedure LEEP or cervical conization treatment of 124 patients,the clinical A retrospective analysis.Results：Histological diagnosis under colposcopy and cervical loop excision procedure LEEP or cervical conization final diagnosis was 69.35%（86/124）,those who do not meet the 30.65%（38/124）,which accounted for 7.26% level rise,of which 4 cases diag nosed as invasive cervical cancer,missed diagnosis rate was 3.23%（4/124）;level accounted for 23.39% reduction（29/124）.Conclusion：Colposcopy in the diagnosis of CIN and early invasive cervical area,has some clinical value,but on the high level of CIN should be combined with LEEP procedure or electric knife cervical conization as a further diagnosis.