宫颈癌前期病变60例的阴道镜诊断价值

The diagnosis and treatment of cervical intraepithelial neoplasia by colposcopy

目的 探讨子宫颈癌癌前期病变早期诊断方法 ,提高诊断率 ,利于及时治疗。方法 6 0例CIN患者临床特征、阴道镜检查、定点活检、高危HPV测定的结果 ,确定个体化治疗方法。结果 CINⅡ级、CINⅢ级患者接触性出血发生率、HPV16感染比例高。常规宫颈刮片易漏诊 ,阴道镜检查结合定点活检能提高诊断准确率。结论 为提高宫颈癌的癌前期病变诊断率 。

Objective To study the diagnosis of cervical intraepi th elial neoplasia for correct treatment promptly.Methods To analyze the clinical feature and the result about colposcopy?pathologic diagnosis?HPV infection.Using various therapy to the aptient with cervical intraepithelial ne oplasia(CIN).Results The proprotions of contact bleeding and HPV infection were higher in the patient with CINⅡ and CINⅢ.It was easy to get mis sed diagnosis when making routine cervical scraping smear.The rate of accurate d iagnosis was higher when colposcopy and pathologic diagnosis were used together. Conclusion To raise the rate of precise diagnosis of cervical int raepithelial neoplasia,it is better than colposcopy and pathologic diagnosis wer e used together.