阴道镜活检与LEEP术在诊治宫颈病变中的价值

The Value of Colposcopy and LEEP in Screening the Cervical Intraepithelial Neoplasia

目的:探讨阴道镜联合LEEP刀在诊治宫颈病变中的价值。方法:回顾性分析了自2012年1月至2014年1月阴道镜下活检病理诊断为CIN的1810例患者,具有LEEP手术指征,在阴道镜指引下行LEEP术,术后常规进行病理检查,阴道镜下宫颈活检结果与宫颈LEEP术后病理结果的差异进行比较分析。结果:阴道镜下活检与LEEP术后活检诊断符合率为:CINⅠ61.82%、CINⅡ62.5%、CINⅢ73.5%。结论:阴道镜指引下的LEEP术可以更加准确的切除病变,避免过度治疗和诊治不足。

Objective： To explore the value of colposcopy and LEEP in screening the Cervical Intraepithelial Neoplasia. Methods： A total of 1810 cases were diagnosed with cervical intraepithelial neoplasia,from January 2012 to January 2014. All patients were further treated with LEEP and then processed routine pathologic examination. Cervical pathology biopsy under colposcopy,and cervical LEEP pathology were compared step by step. Results： The coincidence rates between Colposcopy and LEEP were CINI61.82%、CINII62.5%、CINIII73.5%. Conclusion： LEEP can significantly increase the diagnostic accuracy and decrease the misdiagnosis rate.