719例阴道镜下宫颈活检的临床分析

Clinical analysis of 719 cervical biopsies under colposcopy

目的:探讨阴道镜下醋酸白色上皮在宫颈疾病筛查中的诊断价值。方法:回顾2011年度扬中市宫颈癌免费筛查项目中719例阴道镜下宫颈活检的病理结果。结果:醋酸白色上皮处宫颈高级别病变的检出率显著高于对照组(P<0.01),厚或明显醋酸白色上皮处宫颈高级别病变的检出率显著高于薄或少许处(P<0.01),低级别病变的检出率则无差别(P>0.05)。结论:阴道镜下醋酸白色上皮异常图像尤其是厚或明显醋酸白色上皮图像与高级别宫颈上皮内瘤变密切相关。

Objective:To explore the diagnostic value of ceto-white epithelium under colposcopy in cervical disease screening.Method:To review the pathological result of 719 cases of cervical biopsy under colposcopy in The 2011 Annual Yangzhong cervical cancer screening program for free.Results:The detection rate of high grade lesion of ceto-white epithelium was significantly higher than that in control group(P<0.01),that of thick or obvious ceto-white epithelium is significantly higher than that of thin or a little,but the detection rate of low grade lesion is indifference(P>0.05).Conclusion: Anomaly image of ceto-white epithelium especially of thick or obvious ceto-white epithelium under colposcopy is closely related with high grade cervical?intraepithelial neoplasia.