宫腔镜在绝经后妇女宫颈癌诊断中的应用

Application of Hysteroscopy in the Diagnosis of Cervical Cancer in Postmenopausal Women

目的探索宫腔镜下宫颈活检与常规活检在绝经后妇女宫颈癌的诊断价值。方法对68例绝经后女性经液基薄层细胞学(TCT)发现异常细胞HPV阴性以及TCT阴性HPV阳性的患者进行常规宫颈活检与宫腔镜下宫颈管黏膜活检,比较诊断准确性。结果 LEEP或手术后病理检查证实,慢性宫颈炎26例,CINI11例,CINII13例,CINIII13例,浸润癌5例,宫腔镜下宫颈活检、普通活检诊断准确率分别为100%、83.8%(57/68),比较有统计学差异(P<0.01)。结论对绝经后女性,宫腔镜下宫颈活检可以直观、清晰显示宫颈及颈管内病变,简单、易行、准确度高。

Objective To explore the cervical biopsy under hysteroscopy and conventional biopsy in the diagnosis of cervical cancer in postmenopausal women.Methods 68 cases of postmenopausal women by liquid thin-layer cytology（TCT） found that abnormal cell HPV negative and TCT HPV positive patients with routine cervical biopsy and cervical canal mucosa biopsy under hysteroscopy,compare the diagnostic accuracy.Results LEEP or pathological examination confirmed that after the surgery,26 cases of chronic cervicitis,CINI11 example,CINII13 example,CINIII13 cases,ductal carcinoma in 5 cases,cervical biopsy,ordinary biopsy under hysteroscopy diagnosis accuracy rate 100%,83.8%（57/68）respectively,are statistically significant（P〈0.01）.Conclusion In postmenopausal women,cervical biopsy under hysteroscopy can be intuitive and clearly show the cervix and lesions in the neck,simple,easy and high accuracy.