阴道镜在宫颈疾病诊断中的应用

Application of colposcopy in diagnosis of cervical diseases

目的 评价电子阴道镜在宫颈疾病诊断中的价值.方法 回顾性总结我院2003年10月～2009年10月,因宫颈疾病行电子阴道镜检查的患者6 680例,其中5 960例在阴道镜下定点取活体组织送病理检查.结果 5 960例中慢性宫颈炎4 496例,宫颈湿疣36例,宫颈上皮内瘤变1 272例,其中宫颈上皮内瘤变Ⅰ928例,宫颈上皮内瘤变Ⅱ 158例,宫颈上皮内瘤变Ⅲ186例,宫颈癌156例.结论 采用电子阴道镜检查定点活检及病检能及早发现宫颈癌及癌前病变,是筛查宫颈癌安全、经济、有效的方法.

Objective To evaluate application value of colposcopy in diagnosis of cervical diseases. Methods The clinical data of 6 680 patients who received electronic colposcopy due to cervical diseases （ of which 5 960 patients received fixed point biopsy under colposeopy and histological examination） in our hospital in a period from Oct. , 2003 to Oct. , 2009 were analyzed retrospectively. Results Among 5 960 women who received fixed biopsy under eolposeopy and histological examination, 4 496 women were diagnosed as chronic cervicitis, 36 women were diagnozed as cervical eondyloma, 1 272 women were diagnozed as cervical intraepithelial neoplasia （ GIN）, （ of which, 928 women were diagnozed as CIN Ⅰ , 158 women were diagnosed as CIN Ⅱ and 186 women were diagnosed as CIN Ⅲ ） and 156 women were diagnozed as cervical cancer. Conclusion Fixed point biopsy under electronic colposcopy combined with histopathologieal examination can find cervical cancer and precancerous lesions early, it is a safe, economical and effective method to screen cervical cancer.