阴道镜在宫颈疾病诊断中的价值

Clinical Application of Colposcopy on Diagnosing Cervical Diseases

目的:评价电子阴道镜在宫颈疾病诊断中的应用价值。方法:对560例宫颈疾病患者进行阴道镜检查并行宫颈活组织检查,作回顾性分析和比较。结果:阴道镜检查560例,其中179例宫颈取活组织检查。病理结果:CIN131例,其中CINⅠ46例(25.7%),CINⅡ38例(21.2%),CINⅢ47例(26.3%)。宫颈炎性反应48例(26.8%),阴道镜诊断CIN的检出率为23.4%,阳性预测值73.2%。结论:采用阴道镜能及早发现宫颈前病变。

Objective：To evaluate the benefits of the colposcopy for the diagnosis in cervix diseases especially in CIN.Methods：May in 2007 to December in 2009,560 cases of the cervical diseases were diagnosed with colposcopy,179 cases had the histology diagnosis;and which was used as the gold standard in retrospective analyzing these results.Results：The cervical biopsy Pathological results showed ： a total of 131 cases of CIN,in which there were 46 cases of CINI（25.7%）,38 cases of CINⅡ（21.2%）,47cases of CINⅢ（26.3%）.and 48 cases of chronic cervical inflammation（26.8%）.The colposcopy for diagnosing CIN had a effectivity of 23.4%,and positive prediction data was 73.2%.Conclusion：The colposcopy can detect and reveal cervical precancer and anomalies earlier cervical disease.