子宫颈内膜刮除术检出宫颈上皮内瘤变2级及以上相关影响因素研究现状

Research status of the factors affecting the cervical intraepithelial neoplasia grade 2 or worse of patients detected by intracervical curettage

为提高阴道镜下诊断宫颈上皮内瘤变2级及以上(CIN2^(+))的准确性,子宫颈管取样已越来越多地纳入阴道镜检查,用于评估阴道镜下不可见的子宫颈管区域。子宫颈管取样包括子宫颈内膜刮除术(ECC)和子宫颈管刷,ECC在检出隐匿在子宫颈管内的子宫颈高级别病变更具有特异性,但ECC的具体适应证仍有争议。本文回顾近期研究,就ECC临床意义及检出CIN2+影响因素进行综述。

In order to improve the accuracy of colposcopic diagnosis of cervicalintraepithelial neoplasia grade 2or worse(CIN2^(+))of the patients,the endocervical sampling has been increasingly incorporated into colposcopy of the patients to assess the areas of their cervical canal that are not visible under colposcopy.The endoervical sampling has obtained by endocervical curettage(ECC)and endocervical brushing.ECC is more specific in detecting the high grade cervical lesions which hid in the cervical canal.However,the specific indications for ECC remain controversial.This article reviewed the recent studies and analyzed the clinical significance and influencing factors of CIN2+detected by ECC.