阴道镜在诊断宫颈疾病中的临床应用

Clinical application of colposcopy in diagnosis of cervical diseases

目的:探讨阴道镜在宫颈疾病诊断中的临床应用价值,提高宫颈疾病的诊断率。方法:选择2010年2月～2011年2月进行阴道镜检查的患者280例,将阴道镜检查结果进行图像分析,分析后于正常转化区内及异常转化区内病变严重部位进行多点活检,组织标本进行病理检查。结果:病理诊断280例患者,其中慢性宫颈炎182例,CIN 83例,宫颈癌15例,阴道镜诊断慢性宫颈炎、CIN、宫颈癌的符合率分别为95.1%、96.4%、93.3%。结论:阴道镜检查可以观察肉眼看不到较微小的病变,又可在阴道镜定位下进行活检,再配合细胞学检查在很大程度上提高了宫颈疾病的诊断率,对发现宫颈癌和癌前病变有着十分重要的作用。

Objective： To explore the clinical application value of colposcopy in diagnosis of cervical diseases, and improve diag- nostic rate of cervical diseases. Methods： Two hundred and eighty patients receiving colposcopy from February 2010 to February 2011 were selected, then the results were analyzed, muhipoint biopsy was conducted at severe positions of normal transformation zone and abnormal transformation zone, pathological examination was performed. Results： Two hundred and eighty patients were diagnosed by pathological ex- amination, including 182 patients with chronic cervicitis, 83 patients with cervical intraepithelial neoplasia （CIN）, and 15 patients with cer- vical cancer; the coincidence rates of chronic cervicitis, CIN, and cervical cancer diagnosed by colposcopy were 95.1% , 96.4% , and 93.3% , respectively. Conclusion： Colposcopy can observe the minute lesions invisible to the naked eye, and biopsy can be carried out un- der colposcope. Colposcope combined with cytological examination can improve diagnostic rate of cervical diseases, which is very important for finding out cervical cancer and precancerous lesion.