阴道镜下宫颈活检对宫颈病变的诊断价值

Clinical value of colposcopy biopsy in the diagnosis of cervical lesions

目的探讨阴道镜下活检对宫颈病变的诊断价值。方法抽取2017年5月至2018年8月于滨州市中心医院行阴道镜下活检的妇科患者168例,以病理学检查结果作为"金标准",计算阴道镜下活检对宫颈病变的检出率。结果病理学检查结果示168例患者中宫颈炎89例,宫颈尖锐湿疣13例,宫颈瘤样病变63例,宫颈癌3例。阴道镜活检中宫颈上皮内瘤变检出率为100%(63/63),宫颈癌检出率为100%(3/3),宫颈炎检出率为95.51%(85/89),宫颈尖锐湿疣检出率为92.31%(12/13)。结论阴道镜下活检在女性宫颈病变诊断中效果较为理想,可为患者后续治疗提供一定依据。

Objective To investigate the clinical value of colposcopy biopsy in the diagnosis of cervical lesions.Methods A total of 168 gynecological patients who underwent colposcopy biopsy at Binzhou Central Hospital from May 2017 to August 2018 were selected.The pathological examination results were used as the"gold standard"to calculate the detection rate of colposcopy biopsy in various cervical lesions.Results The results of pathological examination suggested that 168 patients had cervicitis in 89 cases,cervical condyloma acuminatum in 13 cases,cervical neoplasia in 63 cases,and cervical cancer in 3 cases.The detection rate of colposcopy biopsy in cervical intraepithelial neoplasia was 100%(63/63),the detection rate of cervical cancer was 100%(3/3),and the detection rate of cervicitis was 95.51%(85/89),and and the detection rate of cervical condyloma acuminatum was 92.31%(12/13).Conclusions The application of colposcopy biopsy in female cervical lesions is ideal,and it can provide a basis for the subsequent treatment of patients.