电子阴道镜检查对诊断宫颈病变的临床观察

E-colpospy in the diaqnosis ofcervical lessions observed

目的:分析阴道镜检查在宫颈疾病诊断中的作用。方法:选取2008年3月至2009年12月在我院门诊就诊的431例患者进行阴道镜检查,并与组织病理结果对照。结果:431例电子阴道镜检查中,行组织活检291例。病理学检查诊断为慢性宫颈炎146例,宫颈上皮内瘤样病变CINⅠ33例,CINⅡ37例,CINⅢ20例,宫颈癌36例,宫颈湿疣15例,正常宫颈4例。诊断的正确率98.1%,假阳性率4.3%,敏感度为95.2%,特异度为89.1%。结论:阴道镜检查在基层医院具有重要作用,尤其在分流宫颈良恶性病变和诊断CIN及宫颈浸润癌有重要作用,结合组织病理学检查可以提高诊断的准确率。

Objective：Analysis of colposcopy in the diaqnosis of cervial disase.Methods：Select march 2008 to Decewber 2009 in onr howpital outpatieat clinic of431 patieuts with vaginal bronchosaspy and histopatholjical resnlds weve compared.Results：E-colposaspy in 431cases 291cases vow biopsy patholojicad examination of146 cases diajnosed as chronic cervicitis cervical in tcaepithelia neoplasia CINI 33 cases CINII 37 cases CINIII20 cases 36 cases of cervcal cancer cevvical condyloma in 15 cases 4 cases of homal cervix diagnosis accwroey 98.1%and false-positive rate 4.3%sensitivity 95.2%specificity 89.1%.Condusion：colposcopy plays an invportant vole in the Torinary hospital espeviauy in the diversion of benign and malignawt cenical CIN and invasive corvical canler have an invpovtant Role combined with histolojical exawvination can inyorove the diagnositic accurouy.