阴道镜诊断宫颈上皮内瘤变和宫颈癌的临床价值

Clinical Value of Colposcopy in the Diagnosis of Cervical Intraepithelial Neoplasia and Cervical Cancer

目的:分析阴道镜诊断宫颈鳞状上皮内病变和宫颈癌的临床价值。方法:选取本院自2017年2月~2019年3月收治的宫颈病变患者461例,均进行阴道镜检查、宫颈细胞学涂片检查,经临床病理学确诊,对患者临床资料进行回顾性分析,对比阴道镜与病理学检查结果,分析阴道镜诊断价值。结果:阴道镜检查结果显示,慢性宫颈炎患者243例,LSIL患者155例,HSIL患者57例,宫颈癌患者6例,病理学检查结果显示,慢性宫颈炎患者235例,LSIL患者142例,HSIL患者54例,宫颈癌患者6例,阴道镜检查的符合率分别为96.71%、91.97%、94.12%、100.00%。结论:阴道镜诊断宫颈鳞状上皮内病变和宫颈癌的临床价值较高,是一种优秀的诊断方法。

Objective:To analyze the clinical value of colposcopy in the diagnosis of cervical squamous intraepithelial lesions and cervical cancer.Methods:461 cases of cervical lesions admitted to our hospital from February 2017 to March 2019 were examined by colposcopy and cervical cytology smear,and confirmed by clinical pathology.The clinical data of the patients were analyzed retrospectively,and the results of colposcopy and pathology were compared to analyze the value of colposcopy diagnosis.Results:The results of colposcopy showed that there were 243 cases of chronic cervicitis,155 cases of LSIL,57 cases of HSIL,6 cases of cervical cancer.Pathological examination showed that 235 cases of chronic cervicitis,142 cases of LSIL,54 cases of HSIL and 6 cases of cervical cancer.The coincidence rate of colposcopy was 96.71%,91.97%,94.12%and 100.00%respectively.Conclusion:Colposcopy is an excellent method for the diagnosis of cervical squamous intraepithelial lesions and cervical cancer.